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Does Computer Use Actually Cause Carpal Tunnel?

BoldAC writes "A geek physician has reviewed the medical literature that explores if a relationship exists between computer use and carpal tunnel syndrome. 'Typing at the keyboard or using the mouse for hours and hours upon end just seems like it has to be horrible for your joints, right?' His conclusions certainly seem to contradict the thinking of many: 'The current research shows that computer use has very little role in causing carpal tunnel syndrome.' It even seems that both Harvard and the Journal of the American Medical Association agree with his conclusions."

339 comments

  1. Emacs Pinky by quickbasicguru · · Score: 5, Funny

    Does this mean Emacs Pinky is just evil VI propaganda?

    1. Re:Emacs Pinky by snowgirl · · Score: 1

      Does this mean Emacs Pinky is just evil VI propaganda?


      No, Emacs pinky does exist, and is entirely not made up by the Evil VI Propaganda Machine. ^[:wq
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    2. Re:Emacs Pinky by Anonymous Coward · · Score: 0

      Grammar Nazis are to grammar as Chiropractors are to medicine.

      How can that be? A Grammar Nazi would follow the rules of grammar, a Chiropractor would follow some sort of Chiropractic (medicine?) rules.

      Wouldn't it be a closer analogy to say... Grammar Nazis are to grammar as Sports fans are to athletes? Or possibly, Grammar Nazis are to grammar as the WWE is to wrestling. If you wanna piss people off you could say, Grammar Nazis are to grammar as bloggers are to journalists.

    3. Re:Emacs Pinky by roguetrick · · Score: 3, Insightful

      From most standings, bloggers are to journalists as chiropractors are to doctors.

      --
      -The world would be a better place if everyone had a hoverboard
    4. Re:Emacs Pinky by damaki · · Score: 3, Interesting

      Disclaimer: it's no troll, it really happened to me.
      I had this achy pinky because of emacs... All those Ctrl key sequences had a really negative impact on my left pinky. And, when I switched to vi, it disapeared. It's probably because most sequences use both hands on vi.
      When I had to use Eclipse for some java project, I started to alternate between the both control keys and to push the left one, not with the tip of the finger but with the joint. I had no problem so far for years.

      --
      Stupidity is the root of all evil.
    5. Re:Emacs Pinky by snowgirl · · Score: 4, Interesting

      No, because Grammar Nazis nitpick over insignificant details that do not actually apply to the actual grammar of the language. Few people really screw up grammar, but rather, they fail to uphold the arbitrary rules emplaced upon the formal language that Grammar Nazis nitpick upon.

      "I ain't got no money" is actually entirely grammatical (from a linguistics point of view), however it fails to meet the standards of formal language that Grammar Nazis prefer.

      Interestingly, it could be related to Plato's Allegory of the cave. Grammar Nazis actually understand grammar little better than the average native speaker, simply they are dogmatically bound to believe that the shadows are reality, and that the arbitrary rules they have established to explain grammar are what grammar is really about.

      Those who have gotten out of the cave, and see the reality of grammar, and the entire flexibility thereof, understand better than any Grammar Nazi why the above phrase was actually grammatical. And when they would attempt to explain why it is actually grammatical (it's SVO order, it's negated, and has appropriate concordation with the negation.) the Grammar Nazi looks at his cave wall and says that those reasons don't exist, because "ain't" isn't a word, and a "double negative" would logically make a positive.

      Grammar Nazis are to grammar as Chiropraters are to medicine, because neither actually really practice the science described. Rather they study fringe elements related to that science, and believe their positions to be equally valid as the actual science itself.

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    6. Re:Emacs Pinky by ptbarnett · · Score: 2, Interesting
      I had this achy pinky because of emacs... All those Ctrl key sequences had a really negative impact on my left pinky. And, when I switched to vi, it disapeared. It's probably because most sequences use both hands on vi.

      I had the same problem, but it affected the entire left side of my left hand.

      However, it occurred after I switched from an NCD X-term to a PC running Windows and Reflection X. The typical position for the control key on a PC keyboard requires me to twist my entire hand to press it.

      I just remapped the typical PC keyboard so that the caps-lock and control keys are switched. It causes me a bit of trouble when I use other people's keyboards (or they try to use mine), but the pain never returned.

    7. Re:Emacs Pinky by badasscat · · Score: 1

      Grammar Nazis are to grammar as Chiropraters are to medicine

      So what's your opinion on spelling Nazis?

    8. Re:Emacs Pinky by pla · · Score: 1

      Does this mean Emacs Pinky is just evil VI propaganda?

      Of course! You can't spell "evil" without "VI".

      Anyway, if you use Emacs that much, just get a foot-pedal and map it as your Ctrl key.

    9. Re:Emacs Pinky by infonography · · Score: 1

      Emacs Pinky: Gee, Brain, what are we going to do tonight?
              Brain: The same thing we do every night, Emacs Pinky - try to take over the world!

      --
      Sorry about the writing. Robot fingers, you know? Cliff Steele in DOOM PATROL #23
    10. Re:Emacs Pinky by Crazy+Man+on+Fire · · Score: 1

      ...the Grammar Nazi looks at his cave wall and says that those reasons don't exist, because "ain't" isn't a word, and a "double negative" would logically make a positive.


      Nitpick: If "ain't" isn't a word, then there's no double negative. Only if "ain't" is a word and has the meaning we all generally associate with it do you encounter a double negative in your example sentence.
    11. Re:Emacs Pinky by snowgirl · · Score: 1

      So what's your opinion on spelling Nazis?


      Spelling is entirely arbitrary, thus is entirely the domain of Spelling Nazis. (sorry, I can't help you there)
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    12. Re:Emacs Pinky by Gospodin · · Score: 1

      I prefer N - A - Z - I - S.

      --
      ...following the principles of Heisenburger's Uncertain Cat...
    13. Re:Emacs Pinky by Anonymous Coward · · Score: 0

      And don't forget that Richard Stallman developed chronic hand pain/RSI after many years of programming using Emacs.... coincidence?
      Maybe he'd have been better off with Vi ;-)

    14. Re:Emacs Pinky by Attila+Dimedici · · Score: 1

      From most standings, bloggers are to journalists as chiropractors are to doctors. Wow, you either have a unusually high opinion(for slashdot) of chiropractors or an unusually low opinion of doctors.
      --
      The truth is that all men having power ought to be mistrusted. James Madison
    15. Re:Emacs Pinky by quarmar · · Score: 1

      Switch Caps Lock to Ctrl and leave the Ctrl key alone. You'll still have some trouble on other people's keyboards, but most folks won't notice the difference on your keyboard.

    16. Re:Emacs Pinky by smilindog2000 · · Score: 1

      Jesus, guys! How is it that a bunch of super-smart slashdot geeks can be so incredibly in-the-dark about something very likely to affect them... It's kind of like sex/puberty and reading glasses/turning 40. No one seems to know/care what sex is about until puberty, and for some reason people don't understand that the lenses in their eyes solidify when they turn 40 (losing the ability to focus).

      Emacs damages your unlar nervers (your "funny" bones). You can feel them in your elbows. They connect to your pinkies. Emacs wears them out. I blew mine, and had to program by voice for three years while they healed. During that time, even typing my password was painful, as was picking up the damned shampoo bottle in the shower, or a beer after work. Steering a car or holding my girl-friend's hand could be very painful.

      Neo-conservative "scientists" keep on proving all kinds of great things: global warming is a liberal plot to control humanity; AIDS is not caused by HIV; second-hand smoke is not bad for you; and computer related hand injuries are a figment of your imagination. Do yourself a favor and do the following:

      - When your hands hurt stop typing. Trust me on this. Please do it.
      - Switch the mouse to your off-hand for a while, but when your hands hurt, stop typing.
      - Use Dragon Naturally Speaking, and dictate your next paper.
      - Switch from Emacs to VI if your pinkies hurt.
      - Learn the right way to type... limp hands, small finger motions, never twist your wrists. You don't need a new keyboard, just a better way of typing.
      - Get a laptop. The keys don't hurt your hands as much.

      Emacs trashed my hands, but without it I couldn't have controlled my computer by voice for three years. By the time I recovered, I had over 1,600 Emacs voice-macros for controlling everything on my computer. It trashed my hands, and then enabled me to keep my job. We programmers often suffer from ulnar nerve problems... we're lucky. CTS is more permanent, and just worse in general. Still, do yourself a favor, and lay off the keyboard when your hands hurt. I'm sorry for repeating it, but from experience, I know that none of you will listen to that advice, unless shouted at you night and day. We're just weird that way, both you and me.

      --
      Beer is proof that God loves us, and wants us to be happy.
    17. Re:Emacs Pinky by Whiteox · · Score: 1

      A Grammar Nazi would follow the rules of grammar, a Chiropractor would follow some sort of Chiropractic (medicine?) rules. It should be, "A Grammar Nazi would follow the rules of grammar. A Chiropractor would follow some sort of Chiropractic (medicine?) rules."
      --
      Don't be apathetic. Procrastinate!
    18. Re:Emacs Pinky by jamesh · · Score: 1

      BUT THEN PEOPLE WILL HAVE TO HOLD DOWN THE SHIFT KEY ALL THE TIME WHEN THEY WANT TO SHOUT. SURELY THAT IS GOING TO BE BAD FOR YOUR HANDS!!!

      Truth be told, I almost never use the caps lock key... in fact I typed the above sentence by holding down the left shift key. Come to think of it, the caps lock key is the one thing that really pisses me off in vi! I accidently press it occasionally and end up with a whole load of lines joined together when I try and move the cursor around (yes I use hjkl as the cursor keys in vi... the arrow keys are just too far away :)

      I like my keyboard stateless thankyouverymuch!

    19. Re:Emacs Pinky by bbtom · · Score: 1

      You confuse descriptive and prescriptive linguistics. A descriptive linguist says "this is how $language is used". Someone upbraiding another on a forum is saying "this is how I consider $language should be used". Different animal. The difference is like that between an anthropologist and an art critic. Whether the art critic is making valid points or not is up to your interpretation of the rules of $language.

      Grammar trolling can be good for "lulz" and the suchlike. I don't really do it any more. I did send a somewhat pissy e-mail to a list a while back after some folks had a seemingly never-ending back and forth (in full colour HTML) about the nature of consciousness without figuring out how to trim one another's messages or grokking top- and bottom-posting. In retrospect, I think my RSI may be due to constant exposure to people incapable of figuring out how to send a decent e-mail - and thus trying subconsciously to find a way out of ever having to read and write e-mail.

      --
      catch (HumourFailureException e) { e.user.send("You, sir, are a humourless idiot."); }
    20. Re:Emacs Pinky by Isauq · · Score: 1

      But this assumes that the realms of language and orthography are, in fact, equivalent. In the reality of my everyday work, it's rather clear that there's a line between what can be said versus what can be written, though the location of this line is evidently not static. It is this inflexibility in the orthographically acceptable form that will forever relegate it to a status less than that of pure language. Compositionally, "ain't" can probably be proven, as can the syntactic parsability of a double-negative. However, if I'm editing an article on the prosodic qualities of Urhobo I would certainly never allow the author the liberty of using either construction.

      --
      RTFM
    21. Re:Emacs Pinky by Anonymous Coward · · Score: 0

      No, because Grammar Nazis nitpick over insignificant details that do not actually apply to the actual grammar of the language.

      This sentence is poorly worded. You awkwardly used "actual" twice, so it sounds awkward.

      Few people really screw up grammar, but rather, they fail to uphold the arbitrary rules emplaced upon the formal language that Grammar Nazis nitpick upon.

      You missed a comma after "but" and you put a preposition at the end of the sentence above.

      "I ain't got no money" is actually entirely grammatical (from a linguistics point of view), however it fails to meet the standards of formal language that Grammar Nazis prefer.

      You used a comma splice, that is, you put two sentences together with a comma rather than a semicolon.

      Interestingly, it could be related to Plato's Allegory of the cave. Grammar Nazis actually understand grammar little better than the average native speaker, simply they are dogmatically bound to believe that the shadows are reality, and that the arbitrary rules they have established to explain grammar are what grammar is really about.

      Another comma splice, you've really got to stop doing that.

      Those who have gotten out of the cave, and see the reality of grammar, and the entire flexibility thereof, understand better than any Grammar Nazi why the above phrase was actually grammatical. And when they would attempt to explain why it is actually grammatical (it's SVO order, it's negated, and has appropriate concordation with the negation.) the Grammar Nazi looks at his cave wall and says that those reasons don't exist, because "ain't" isn't a word, and a "double negative" would logically make a positive.

      Now you're not maintaining parallel form with the "it's" construct, you meant "concordance" instead of "concordation," and used incorrect supplementation of the phrase with a period.

      Grammar Nazis are to grammar as Chiropraters are to medicine, because neither actually really practice the science described.

      If you write a complex sentence, then you shouldn't put a comma between the two parts.

      Rather they study fringe elements related to that science, and believe their positions to be equally valid as the actual science itself.

      However you need commas after words like "Rather," but not after "science".

      Though your write. I have no problems with the "I ain't got no money" sentence.

    22. Re:Emacs Pinky by OwnedByTwoCats · · Score: 1

      I'll disagree strenuously with #5. You might need a new keyboard. I entered a phase at work, about a decade ago, when I was really pounding out the code. My wrists started to get really sore. I bought a no-name (literally; there is nothing recognizable as a brand name on the box or the device) split keyboard (I had bought the $200 Apple Adjustable Keyboard years ago, and was most comfortable with the widest split. Then the X key gave out... so I got another, I forget the brand name, that was split but not adjustable, but that's another story...)

      Problem solved. Wrists stopped hurting. Code pounding continued. I really can't use a "normal" keyboard for very long.

      And I use emacs when I'm in unix-land.

    23. Re:Emacs Pinky by smilindog2000 · · Score: 1

      Split keyboards do help, but they aren't the only way... what they let you do is keep your fingers on the home row without turning your wrists. The other way to stop turning your wrists is to give up on the home row, and turn your hands at an angle to a normal flat keyboard. The positive effects for your hands are about the same either way. You can still rest your pointer fingers on the 'f' and 'j' keys, but with wrists turned, your other fingers drift into the next row.

      But I basically agree with you. Getting a split keyboard is a very effective improvement that wont make you relearn how to type.

      --
      Beer is proof that God loves us, and wants us to be happy.
    24. Re:Emacs Pinky by roguetrick · · Score: 1

      I think it must be that I have an unusually low opinion of the majority of bloggers(for the internet).

      --
      -The world would be a better place if everyone had a hoverboard
    25. Re:Emacs Pinky by novakreo · · Score: 1

      "I ain't got no money" is actually entirely grammatical (from a linguistics point of view), however it fails to meet the standards of formal language that Grammar Nazis prefer. So tell me, what is "ain't" a contraction of, if it's a valid term?
      --
      O frabjous day! Callooh! Callay!
    26. Re:Emacs Pinky by OwnedByTwoCats · · Score: 1

      Remember; those who invoke vi three times have The Mark of The Beast!

    27. Re:Emacs Pinky by ttfkam · · Score: 1

      I'll answer you as soon as you answer why the following retort is correct?

      "Aren't I the one for that job?"

      "Aren't" is a contraction for "are not," correct? However, the verb "to be" is not conjugated as "are" for the subject pronoun "I." The "correct" form is, "Am I not the one for that job?" So how does "aren't" fit into this "correctly?"

      Yes, I used a lot of quotation marks. It doesn't alter the fact that "aren't I" is no more valid than "ain't." In fact, "ain't" has been around as long as all of the other contractions. Its status as bad English is largely arbitrary.

      "It ain't nothing to worry about neither." Did you understand that sentence? Do you understand the intent of the writer? Done. Move along.

      --

      - I don't need to go outside, my CRT tan'll do me just fine.
    28. Re:Emacs Pinky by snowgirl · · Score: 1

      This sentence is poorly worded. You awkwardly used "actual" twice, so it sounds awkward.


      Conversational speech. You can forget you used one word, and use it again.
      However, logically, it still makes sense. In fact, Grammar Nazis nitpick things that are not part of the real Grammar for English, i.e. such as comma usage.

      I don't know if you were making a joke, but you did you "awkward" twice yourself.

      You missed a comma after "but" and you put a preposition at the end of the sentence above.


      "Few people really screw up grammar, but, rather, they fail ..." ??? That looks absurd. "but rather" is a single conjugating phrase, and shouldn't be separated by a comma.

      As for the preposition, English like all Germanic languages has compound verbs, which have an attached preposition. The structure of the sentence is ((subordinating conjunction: that) (subject: Grammar Nazis) (verb:nitpick upon)). If you've never seen "to nitpick upon" in the dictionary, that's because Grammar Nazis have done a really good job of trying to convince people that English doesn't have complex verbs like the rest of Germanic languages.

      Two-sided example from German:
      "Ich schlag den Tisch, auf dem ich die Kuppe gestellt habe." You used a comma splice, that is, you put two sentences together with a comma rather than a semicolon.

      Well, according to Wikipedia a comma split is: "... when two independent clauses are joined by a comma with no conjunction."

      Last I looked, "however" is a conjuction, but I could be wrong. Oh Merriam-webster.com says: "Main Entry: 1however Function: conjunction". Sweet, I'm not wrong, and I didn't comma splice. Two birds with one stone.

      If you want to get into the icky details of "however" being a conjunctive adverb, fine, remove the "it" after the however. Now it's right.

      Another comma splice, you've really got to stop doing that.


      As an aside comment, I would have used em-dashes to separate the clause: "simply they are dogmatically bound to believe that the shadows are reality", but this isn't formal speech, so I used the more informal comma. Also, from: http://www.geocities.com/markboonejesusfreak/academic/commas

      non-restrictive element: a portion of a sentence that is not grammatically necessary to complete the meaning of the sentence.

      Now you're not maintaining parallel form with the "it's" construct, you meant "concordance" instead of "concordation," and used incorrect supplementation of the phrase with a period.


      Did you miss that the phrase was surrounded in parantheses? Because that means it's an external comment, and not subject to the same form rules, as they could even have been left by someone else. Again, it's an aside comment. (Something you shouldn't do in formal language anyways.)

      Yes, "Concordance". I used the regular nominalization of the verb "concord" which is "-tion", which unfortunately, is not the standard irregular form used in English.

      Again, as an aside comment, the parathetical comment was an individual statement all of its own. The period is there to indicate that that particular tangential thought line was complete.

      If you write a complex sentence, then you shouldn't put a comma between the two parts.


      A question of style.

      However you need commas after words like "Rather," but not after "science".


      Admittedly, yes, if I were writing formal English, I would need a comma after "rather".

      And honestly, I always place a comma before any conjunction... that's just the way I role.
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
  2. er by Anonymous Coward · · Score: 3, Funny

    I'd post a longer reply, but my hands hurt.

    1. Re:er by HexaByte · · Score: 1
      Well, I for one am going to get in my disability claim before it's widely recognized as that this article is right!

      --
      HexaByte - he's a square and a half!
  3. Everyone knows carpal tunnel is caused only by typing done whilst visiting adult sites, which explains why so many of you perverts have it!

    --
    stuff |
    1. Re:Duh by ubrgeek · · Score: 2, Funny

      Playboy.com ... the sound of one hand typing.

      --
      Bark less. Wag more.
    2. Re:Duh by mcmire · · Score: 1

      Or one hand doing something else...

    3. Re:Duh by jav1231 · · Score: 1

      You'd think exercise of the wrist would mitigate this.

    4. Re:Duh by Nullav · · Score: 1

      Only with a Model-M.

      --
      I just read Slashdot for the articles.
  4. PORN by Major+Blud · · Score: 3, Funny

    Baloney, of course computer use causes carpal tunnel....well, certain types of computer use anyways....

    --
    If you post as Anonymous Coward, don't expect a reply.
    1. Re:PORN by SatanicPuppy · · Score: 1, Interesting

      TFA claims it's probably either rheumatoid arthritis, menopause, hypothyroidism, acromegaly, end-stage renal disease, pregnancy, or obesity.

      However, since I don't have any of those things, that begs the question, from whence commeth my fricking carpal? I have some ulnar issues which probably stem from shoulder tension, but for the actual carpal, I get it when I have an unusually high typing month, and it goes away when I take it easy for a few weeks. Worst I ever got it, I was in college, weighing 165, living in student digs with a really crappy desk. I've got more medical problems now, I weigh more, why less carpal? Not like I type less.

      To say that it's completely unrelated is disingenous...There is obviously a strong correlation, and while that does not prove a causal relation, it's certainly noteworthy.

      --
      ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
    2. Re:PORN by nilesh_tms · · Score: 4, Interesting

      I hate to keep copying/pasting the same thing here, but this might actually help someone. Check out the following as it may help you:

      I cured what I thought was "RSI" using this "mindbody" approach:
      http://www.rsi.deas.harvard.edu/handout.doc
      (Coincidental that Harvard is hosting this document, maybe the researchers should look at it themselves)

      Here is the Google cache for those who don't want to open a .doc.

      I suffered for 1.5 years (where I didn't work because I didn't think I could) before I found that my cure was a completely psychological approach. From my research of CTS (as well as what my doctor told me), it is completely unrelated to typing. And from my experience with "RSI" and understanding what it actually was, I no longer believe you can actually hurt yourself from typing too much.

      I now type sometimes all day long without taking many breaks. I play guitar, bass, and drums. I don't worry about posture at all. Ergonomics are only a way for me to get comfortable, not to avoid injury. I have no pain at all, and don't worry about ever having "RSI" again. It's been 5 years since I cured myself.

      Please read up on the approach I'm talking about here before you flame me. It actually makes sense once you put all the pieces together. You can also search for "sarno tms" to find more info.

      Read the book "The Mindbody Prescription" by John E. Sarno if you can, its really the best source for an explanation of this.

    3. Re:PORN by Dachannien · · Score: 1

      However, since I don't have any of those things, that begs the question, from whence commeth my fricking carpal? Please see subject line.
    4. Re:PORN by nuzak · · Score: 0

      > I hate to keep copying/pasting the same thing here,

      Clearly if you did, you wouldn't be fucking doing it.

      Sarno looks pretty dubious, but at least not in the outright new-age woo-woo kind of way. Has any of his work actually been clinically studied?

      --
      Done with slashdot, done with nerds, getting a life.
    5. Re:PORN by plague3106 · · Score: 1

      Well first, I remember reading the theory that CT comes from computer use around 1999... so this story is somewhat of an old dupe.

      What you are feeling is not CT.. CT is permanent damage to your joints, caused by repetitive motion. My grandmother has it, from years of putting Merck pills into bottles.

      What you ARE feeling is stressing of the elbow; I thought i had CT at one point too.. it turns out it was just from having my elbow on a wooden arm-rest. Also, it may simply be fatigue or a pulled ligiment (which also happened to me once as well). Yes, this is what a doctor told me when I went to get checked out.

      The solution is ergonimics though; I find the best is to have my entire fore-arm resting on the desktop, with the legs on the keyboard raised. YMMV.

    6. Re:PORN by sumdumass · · Score: 3, Interesting

      Back in 1998, A girl I ran around with developed carpel tunnel. The company she worked for (as a data entry clerk) denied it was possible to get carpel tunnel from using computers. They were self insured and at the time it was legit to only allow her to goto the company paid doctors. Of course they backed them up.

      The problem is that if data entry, or general computer use can be attributed to carpel tunnel, then there is a lot of liability large companies would be responsible for. It wouldn't surprise me if this isn't one of those "paid for results" studies. I have no proof in saying it is, I'm not saying that it is, just that I wouldn't be surprised to find out it was. There is big money in work related injuries and disproving them. A company that could get lower rates and not have to payout for something directly related to the job would save a bundle if they didn't have to worry about it.

      As for my friend, her job and working 12-15 hours a day 4 days straight with 2 days off in between was the only repetitive work she did that was associated with carpel tunnel. When going to her family doctor, he was convinced it was the computer work. He eventually put her on working restrictions of 8 hour days, the pain and problems were relieved to some degree and she was eventually fired and had to find a new job. This actually worked out in her benifit because the job she found after that paid almost twice as much, had reasonable hours and the company paid "employee insurance program" took care of the carpel tunnel 8 months later. As far as I know, she hasn't had issues with it ever since and does more in her off time then even when she had the old job.

      I think there is a reason they call carpel tunnel a repetitive stress injury. Maybe the article is correct in that if certain limits are in place, there is no correlation. But I doubt that outside those settings it could be true. People like you and my friend sort of show it to be otherwise. I think going from 12-15 hour days to 8 hour days with regular breaks helped her a lot. But she still needed to have something sniped to end everything.

    7. Re:PORN by nilesh_tms · · Score: 1

      Clearly if you did, you wouldn't be fucking doing it.

      Helping people learn about a possible way to cure a painful condition is more important the karma I will lose from -1 Redundants. It's actually kinda sad that I'm getting modded down.

      Sarno looks pretty dubious, but at least not in the outright new-age woo-woo kind of way. Has any of his work actually been clinically studied?

      Yeah, I think the fact that he provides scientific ideas and not vague new-agey ideas is why it worked for me. Granted, his ideas are very Freudian, and a lot of people shy away from that, but maybe Freudian had some ideas that were right.

      Here is what the wiki page says about him:


      John E. Sarno, MD, (1923-) is Professor of Clinical Rehabilitation Medicine, New York University School of Medicine, and attending physician at the Howard A. Rusk Institute of Rehabilitation Medicine, New York University Medical Center. He graduated from The Columbia University College of Physicians and Surgeons in 1950. In 1965 he became the Director of the Outpatient Department at the Rusk Institute. He is also the originator of the controversial psychosomatic condition, tension myositis syndrome, which has not received serious study from mainstream medicine.


      I don't know about whether it has been clinically studied or not. There are several other doctors that have learned from him and practice the same techniques. I wish they would get more attention from the mainstream.

    8. Re:PORN by nuzak · · Score: 3, Informative

      > It's actually kinda sad that I'm getting modded down.

      I was about to mention how your tone and your, ah, overenthusiasm might have been part of it. But I took a look at your user profile, and it looks like your only purpose here is to shill for your pet quack. FOAD, nobody owes you a civil reply.

      --
      Done with slashdot, done with nerds, getting a life.
    9. Re:PORN by budgenator · · Score: 1
      FTA

      The popular belief that excessive computer use causes painful carpal tunnel syndrome has been contradicted by experts at Harvard Medical School. According to them, even as much as seven hours a day of tapping on a computer keyboard won't increase your risk of this disabling disorder.

      What they are saying is that most CTS has no identifiable cause, especially computer use. It's like the joke about the guy that complains to the doctor that it hurts when he does something, so the Dr. tells him. "Don't do it". If the computer use is aggravating something, slow down if possible. Try on of these Bambach Saddle Seat they actually work.
      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    10. Re:PORN by zippthorne · · Score: 1

      Is it, though? or is it just that you're more likely to notice it when your day involves a lot of very precise muscle movement?

      --
      Can you be Even More Awesome?!
    11. Re:PORN by Anonymous Coward · · Score: 0

      "But she still needed to have something sniped to end everything."

      So she needed to get herself 'fixed' to end her carpel tunnel?
      Or she needed you to get something snipped?

    12. Re:PORN by thegnu · · Score: 1

      I think working on a computer doesn't give your body the time to recover. I've found with my carpal tunnel, it's broadly a result of myself being unhappy and working long hours on the computer. Specifically, I tend to hunch more while at the computer, and it throws my shoulders forward. This puts leaning pressure on my forearms, and also adds tension around my rotator cuff. I've found that the MAJORITY of my "carpal tunnel syndrome" is resolved when my mom, a massage therapist, does deep myofascial work in my armpits.

      So two things:
      1. I concur completely with the sibling poster about the Mind-Body connection.
      2. Carpal tunnel generally originates in the shoulders, and focusing your attempts at rehabilitation on your shoulders will yield better results.

      When my cts got really bad one time, the armpit work was one of the worst pains I EVER experienced, followed by a week in which I would notice that I hadn't been thinking about my wrists all day.

      --
      Please stop stalking me, bro.
    13. Re:PORN by MaskedSlacker · · Score: 1

      Of course, proof by anecdote is not proof.

      That said, you are probably right in interpreting this to mean rather that PROPER computer use isn't harmful. And how many desk jockeys can be bothered to use a keyboard properly?

    14. Re:PORN by rtb61 · · Score: 1
      More likely it is statistics, more statistics and damned statistics. The average, and remember the average IQ is 100, computer user, is a two fingered typist, that reads the screen at a pace, that quite literally, wants to send computer geeks trying to provide tech support services, screaming from the room. Now if we look at executives, tennis elbow from excessive bending at those long liquid lunches is more likely.

      So carpal tunnel syndrome not likely, now there is a surprise. Now lets look at the most skilled computer users coders, hmm, even there, they actually still spend much more time thinking about the code rather than actually typing the code.

      That only leaves data input staff (reducing in number due to scanners and OCR or off shoring to second world countries that were excluded from the statistical count, woops) or secretaries who actually spend most of the time typing, a small percentage of computer users. Hmm, US medical insurance corporations and paid for research.

      --
      Chaos - everything, everywhere, everywhen
    15. Re:PORN by Anonymous Coward · · Score: 0

      You are right to take these "studies" with a grain of salt. First, the Harvard document referenced wasn't a study at all, it was an in-house health article that just mentioned a study (without references); and the JAMA article's authors used a self-reporting questionnaire to gather their data. Self-reporting questionnaires are known to be the least reliable method of collecting data. Incidentally, just because the JAMA publishes an article doesn't mean they agree with it as the OP stated. Neither of the articles linked to were peer-reviewed, and indeed the Harvard study that was referenced in the Harvard article may never have been published in a peer-reviewed journal - we don't know since it went strangely unreferenced.

      Importantly, neither study said that COMPUTER USE did not cause CTS, but that keyboard use did not. The Danish study in JAMA specifically mentioned that mouse use DID correlate with CTS.

      As for these being "tame" studies to help out the insurance industry, that does happen, but I saw no evidence of it here (but neither article came chocked full of background information so I'm not ruling it out). I'm not sure it would be a big help to the insurance industries even if it was proved there was no correlation from keyboard use and CTS, because the symptoms of CTS usually give an indication of the times of day the injurious behavior is occurring (pain at night,lessening on weekends for example) and it is easy to determine that the injury is occurring during the workday, making it an occupational injury, keyboard-use or not. Additionally, a mild case of non-occupational CTS might easily be exacerbated by keyboard use at work, which would classify it as a workplace injury. If the insurance industry wants to use these "articles" as defense against claims they have a long slog.

      I was an occupational health professional for many years and I am aware of many peer-reviewed scientific articles correlating typing, keyboard and mouse use with repeatative motion injury such as CTS. These two lightweight articles don't even begin to carry enough weight to refute those serious studies.

    16. Re:PORN by Anonymous Coward · · Score: 0

      That's not true. I masturbate a lot with my left hand, but only have pain on my right hand. Probably because I was using an heavy mouse. (Posted as AC, for obvious reasons.)

    17. Re:PORN by SpecialRider · · Score: 1

      Please explain how you would clinically study a cure to a phycho somatic disorder? This is not something that can be easily done IMO. However, in my personal experience dealing with chronic low back pain(herniated disc), I can say that Sarno is the only doctor Ive come across that knows what's going on with a majority of chronic pain sufferers.

      Most people think its nuts, but just because you dont believe it doesnt mean its not true...also, the lack of clinical studies in no way nullifies claims of his success.

      The resistance to his approach is more an issue of psychological conditioning that most of us are brought up with. I only hope people keep an open mind regarding this stuff as it could be of great help to many of them.

    18. Re:PORN by nilesh_tms · · Score: 1

      I was about to mention how your tone and your, ah, overenthusiasm might have been part of it. But I took a look at your user profile, and it looks like your only purpose here is to shill for your pet quack. FOAD, nobody owes you a civil reply.

      If it weren't for someone posting about this in a public forum (in my case, it was on the Sorehands mailing list), I might not have found a cure. Even that person got flamed. I expect to be flamed. It's sad that I got modded down, but I expect it. People are of course going to be against an idea that seems outrageous, especially on Slashdot, where you have a lot of skeptics. But that doesn't invalidate what I'm saying, and the fact that it worked for me to solve my chronic pain problem, as well as many others (even other people on Slashdot).

      Maybe I will get a few people who tell me to "fuck off and die" as you have just done. But maybe some more open-minded people will read what I suggested and possibly find some kind of solution to their own problems.

      Yes, I created *this* Slashdot account only for discussing this particular topic. But I'm just your average Slashdotter the rest of the time.

      Do you have or have had any chronic pain conditions? If so, have they lasted for over a year without you finding a solution? Can you honestly say you wouldn't be open to reading what I suggested if you were in that situation?

  5. PORN by BlowHole666 · · Score: 3, Funny

    It is because most computer users (geeks) do not have girlfriends. So they hurt their wrist looking at porn...well the wrist are busy doing other stuff.

    --
    I smoked pot once. But I DID NOT inhale. Will you hire me?
  6. I know of one action... by guruevi · · Score: 1

    It has to do with computers, the internet, geeks and a left or right hand to stimulate certain nerve endings... that's probably the cause of all that carpal tunnel excuse. Introduce more girls into the world that would accept people here at /. and we'll have the 'cure'

    --
    Custom electronics and digital signage for your business: www.evcircuits.com
  7. I have CTS by earthloop · · Score: 5, Funny

    I have CTS and am going for my op early next month to fix it. I'm 33 now and have used computers since the ZX81.

    My GP insists that my CTS has nothing to do with my years of computer use, and that in fact it will be good post-op physio.

    Still, I'm having one hand done at a time so that I can still manage one handed browsing. ;o)

    1. Re:I have CTS by ajs · · Score: 1

      My GP insists that my CTS has nothing to do with my years of computer use, and that in fact it will be good post-op physio. This seems reasonable. I've always thought that it seemed odd that, of the dozens of geeks that I know of who type constantly, only a small fraction develop RSI or CTS, and yet we blame it on the typing. I think it's more reasonable to blame it on the fact that not all humans are well suited to typing.
    2. Re:I have CTS by snowgirl · · Score: 3, Interesting

      CTS is typically caused by being predisposed to it in the first place. At that point, using computers makes things a lot worse.

      So, he's right, and you're kind of right. The CTS was not caused by your computer use, but your computer use certainly did aggrevate it.

      PS. I was about to applaud you for being the first "non-porn" post until your last line. *sigh*

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    3. Re:I have CTS by earthloop · · Score: 1

      I made no reference to pr0n! I simply commented that I can still browse one handed while my other hand is out of use. If one is bandaged up and the other is driving the mouse/keyboard, things could get difficult.

      However, I will admit to providing the opportunity to those that chose to took it, before I saw all the other smutty comments.

      Sorry. ;o)

    4. Re:I have CTS by snowgirl · · Score: 1

      *laugh* well, I appreciate your intentions. A subtle innuendo is actually pretty funny most of the time, it's just when surrounded by a bunch of blatant sexual statements, it comes across as poor taste. :(

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    5. Re:I have CTS by ArsonSmith · · Score: 1

      The agenda of the article is spelled out pretty quickly in the second paragraph:

      "Forty percent of work place injuries are attributed to carpal tunnel syndrome. We should sue computer makers and mouse makers! Make these horrible input devices illegal! Right? "

      How much you wanna bet that the major funders of this research were somehow related to computer makers and mouse makers?

      --
      Paying taxes to buy civilization is like paying a hooker to buy love.
    6. Re:I have CTS by soulsteal · · Score: 2, Funny

      CTS is typically caused by being predisposed to it in the first place.

      I agree whole-heartedly. It has always been my line of thinking that your chances of having Carpal Tunnel Syndrome are greatly increased by having Carpal Tunnels.

    7. Re:I have CTS by nilesh_tms · · Score: 1

      Before you go for surgery, check out the following just in case it works for you:

      I cured what I thought was "RSI" using this "mindbody" approach:
      http://www.rsi.deas.harvard.edu/handout.doc
      (Coincidental that Harvard is hosting this document, maybe the researchers should look at it themselves)

      Here is the Google cache for those who don't want to open a .doc.

      Read the book "The Mindbody Prescription" by John E. Sarno if you can.

    8. Re:I have CTS by snowgirl · · Score: 1

      You are definitely fat.


      Just because a woman is sick and tired of sexual jokes makes her fat? Well, crap, we need to redefine "fat" then, because I have a BMI of 18.3 If you're wondering, that's supermodel range.
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    9. Re:I have CTS by collectivescott · · Score: 1

      "because I have a BMI of 18.3 If you're wondering, that's supermodel range." Maybe supermodels in 1950. I rock a 25 myself, and I could honestly stand to gain a few pounds.

    10. Re:I have CTS by poetmatt · · Score: 1

      hey, if you have a good self image is good for yourself :) However, 18% bodyfat is not supermodel range, ...sorry to burst your bubble stoke the flames...you can still be hot/attractive at 18 but its where that 18% is that matters on that one. If all 18% is in your ass would be pretty funny looking, etc. I think there's a certain phrase we have in mind for that, hahahahaha. /not the thinnest guy myself, but still

    11. Re:I have CTS by kdemetter · · Score: 1

      weight does have some effect on fertility though .
      If you weigh to little , you might have trouble getting pregnant.

    12. Re:I have CTS by medintern · · Score: 1

      She did not say 18% body fat. She said 18.1 BMI -- which is your body mass index. The quick equation for BMI to body fat is Adult Body Fat % = (1.20 x BMI) + (0.23 x Age) - (10.8 x gender) - 5.4, where male is 1 and female is 0. Assuming an age of 25, her body fat is around 22%

    13. Re:I have CTS by compro01 · · Score: 1

      However, 18% bodyfat is not supermodel range

      BMI =/= body fat percentage

      --
      upon the advice of my lawyer, i have no sig at this time
    14. Re:I have CTS by Rudisaurus · · Score: 1

      Still, I'm having one hand done at a time so that I can still manage one handed browsing.
      I've never heard it called that before.
      --
      licet differant, aequabitur
    15. Re:I have CTS by StarfishOne · · Score: 1

      A BMI of 18, and a few days ago a measured body fat percentage of 5.6%

      Does that make me a super model? :P :D

      (Actually, I really want to built of a bit more 'reserves', but the positive side is that I don't have to do ab crunches ;o)

    16. Re:I have CTS by Anonymous Coward · · Score: 0


      >Does that make me a super model? :P :D

      You could be butt fugly and still have the physique of an olympic swimmer.
      You could even be "hot" and be somewhat overweight.

      There is no formula that lets you make such claims without at least posting photos, and probably not without in-person evaluation.

    17. Re:I have CTS by ISoldat53 · · Score: 1

      I had mine done 5 yrs ago. It's a smart idea to have one done at a time. It's hard to manage with both hands in splints. The hardest part was the pain pills were in a child safe container. As far as computers causing CTS, the neurology tech made a good living off of MS employees. The Neurologist was right across the street from MS.

    18. Re:I have CTS by snowgirl · · Score: 1

      No, not just in 1950.

      Karolina Kurkova has a BMI of 18.x

      A BMI of 18 is likely in the size 4 range once you get to supermodel heights (5'10" and higher), while at lower heights, like around 5'6" may perhaps get down to a size 0.

      While I would happily gain more weight, my body will not do so. Metabolism.

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    19. Re:I have CTS by Anonymous Coward · · Score: 0

      "because I have a BMI of 18.3 If you're wondering, that's supermodel range."

      I'd be willing to bet any amount of money you want that your BMI is the only thing you have in supermodel range. And just to shut you TFU, a BMI of 18.3 is NOWHERE NEAR supermodel range fatty, sorry to burst your big fat bubble sweetheart. Have a twinkie you'll feel better.

      And he should have said "you are definitely fat and/or ugly". Since you claim you're not fat...

      "Just because a woman is sick and tired of sexual jokes makes her fat?"

      No not at all, unless they get defensive about it like you did, then DEFINITELY yes, and it also makes her a cunt in case you're wondering. Cunt.

    20. Re:I have CTS by snowgirl · · Score: 1
      I'm aware of that: a study about amenorrhea in ballet dancers remarks:

      It has been recognized that the critical amount of body fat leading to amenorrhea is below 17%, while 22% is needed for regular menstrual cycles


      So, as someone mentioned before by my BMI I would have 22% body fat, so I'm just at the cusp of regular menstrual cycles, which explains my mostly regular cycle.
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    21. Re:I have CTS by Anonymous Coward · · Score: 0

      I too had CTS in both wrists. I got surgery on the right hand one because it was the worse. It helped. I delayed the second one while switching to an ergonimic keyboard. That helped too. No surgery necessary.

      So, what does that mean? Computer use can definitely aggravate the problem. Whether it causes it in the first place, I don't know.

      It might also matter whether you are touchtyping or using only two fingers to type. I am touchtyping.

    22. Re:I have CTS by schwinn8 · · Score: 1

      I DON'T have CTS, and I've been typing and using computers since the ZX81 as well, about 25 years ago... damn I feel old. I can tell you that I do feel aches and pains on the top of my right hand (opposite the palm) if I am using a mouse without a wrist-pad (I am right handed)... but as soon as I use a wrist pad on the keyboard and mouse (the mouse seems to affect me more) then I am fine, and the problems completely go away.

    23. Re:I have CTS by iabervon · · Score: 1

      My opinion (based on a lot of anecdotes but nothing formal or statistically valid) is that, when people are under too much systemic strain, whatever body part is under the heaviest use breaks down. Systemic strain causes something to go wrong; computer use causes it to be CTS, as opposed to, say, a heart attack.

      Oversimplifying somewhat, stress tends to override the normal tendancy to rest when you're too tired to protect yourself, and your ability to relax and recover. At that point, it's a question of what you're damaging.

    24. Re:I have CTS by snowgirl · · Score: 1
      Karolina Kurkova, supermodel.

      Height: 5 ft 11 in (1.8 m)
      Weight: 59 kg (130 lb)
      Calculated BMI: 18.1

      And as for a reference range of BMI:

      BMI Categories:

      Underweight =

      So, my BMI of 18.3 is underweight you stupid jackass. And it is in supermodel range.

      Comparing measurements as well:
      Karolina Kurkova: 33-23-34.5 (US)
      Me: 33-26-34

      So, yeah, our measurements are pretty much the same as well. :P And for reference I wear a size 4, which is one of the two sizes that supermodels actually wear (those are 2 and 4.)
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    25. Re:I have CTS by Anonymous Coward · · Score: 0

      so I'm just at the cusp of regular menstrual cycles, which explains my mostly regular cycle. How does a discussion about CTS and computer use go to this? Stop feeding the trolls[read: bitches], people!

      P.S ( My bet is this is actually an angry forty-something year old man that hasn't come to grips with his father leaving. Looked through your posts and they are on the cusp of intellectual drivel - hate men much? Sexism kills. Or something. Bitch. )
    26. Re:I have CTS by Attila+Dimedici · · Score: 1

      She did not say 18% body fat. She said 18.1 BMI -- which is your body mass index. The quick equation for BMI to body fat is Adult Body Fat % = (1.20 x BMI) + (0.23 x Age) - (10.8 x gender) - 5.4, where male is 1 and female is 0. Assuming an age of 25, her body fat is around 22% You can't get body fat percentage from BMI. There is no connection between the two. BMI is a weight to height relationship. Since muscle weighs more than fat, the mre muscular you are, the worse your BMI. In 2000 (the March before Gladiator came out), every one of the players on all four teams in the NCAA's Final Four (basketball) were overweight according to BMI, none of them had a body fat percentage over 10%. The reason I remember that it was the March after Gladiator came out is that the same list mentioned that Russell Crowe was obese according to BMI and that was right after Gladiator was released. There was a whole list of other actors who were noted for being fit and muscular (but not Arnie bulked), who were, also, either overweight or obese according to BMI measurement.
      --
      The truth is that all men having power ought to be mistrusted. James Madison
    27. Re:I have CTS by Anonymous Coward · · Score: 0

      That's exactly what I believe. The people who get CTS, whether they be gardeners, people who work at computers all day long, play guitar all day, etc are people who would have gotten it anyway whether they were using the computer for 12 hours a day or 12 minutes a day. I've been mousing and typing for 12+ hours a day, almost every day for the last 12 years. The _only_ parts of my body that have gotten sore, tired, etc are my eyes, arse, and shoulder -- bad shoulder from HS football and it acts up sometimes when I'm not sitting in the right position.

    28. Re:I have CTS by Propaganda13 · · Score: 1

      I have a BMI of 35. If you're wondering that's pornstar range. Thank you, Ron Jeremy.

      or movie star range. Thanks to The Rock, Stallone, and Schwarzenegger.

      All 5 of us are "obese". My body is somewhere between pornstar and movie star.

      BMI is useless.

    29. Re:I have CTS by Anonymous Coward · · Score: 0

      And just in case she isn't a man hater, you're trying to ensure it? She wasn't the one trolling. Insecure much?

    30. Re:I have CTS by Anonymous Coward · · Score: 0

      Let's see..
      - You believe humans are not inherently good
      - You have an opinion based in linguistics
      - You're in great shape

      *blushes mildly at you*

    31. Re:I have CTS by medintern · · Score: 1

      Attila, You are correct and that in individual people/patients, BMI has no correlation to body fat or obesity. However, in population studies, it has a fairly good correlation, and that is why we use it in health statistics and in cardiac disease prevention models. The equation I gave came from a population study of about 1200 patients, with widely varying BMI's and then their body fat was measured. In adults, the equation I gave was fairly accurate--with an R-squared of .79 and a SEE of 4%. So you are correct, but the formula does work for a quick guess of BMI -- just as BMI is a quick guess of obesity or not. Link to the website with the formula here -- http://www.halls.md/bmi/fat.htm

    32. Re:I have CTS by snowgirl · · Score: 1

      Yes, BMI is useless at HIGHER weight ranges. This is because muscle weighs more than fat. As such, a largely muscular person, The Rock, Stallone, and Schwarzenegger, all have higher BMIs, however their body fat percentage is relatively low.

      BMI and weight likely have little to do with "pornstar range" as the weight range, and body fat percentage are not signficant criteria. The size of certain other attributes are.

      While all of this is true, a low BMI cannot be the result of anything different than low body fat, and low muscle weight percentage. How does this work?

      High BMI = (high body fat % or high muscular weight %)
      Low BMI = not (High BMI) = not (high body fat % or high muscular weight %) = (not high body fat) and (not high muscular weight %)

      Now, I know that "not High BMI" includes much more than low BMI, but significantly lower BMI can only be achieved by not having either: high body fat, or high muscular weight.

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    33. Re:I have CTS by snowgirl · · Score: 1

      You forgot:
      - Single

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
  8. Tell that to my wrist. by Anonymous Coward · · Score: 0

    Hasn't been the same ever since the interweb :(

  9. It's not computer use it's Emacs use by Anonymous Coward · · Score: 0

    Stallman has RSI. A good Emacs-using friend of mine has RSI. The standard Emacs key bindings, together with a modern standard keyboard, makes your fingers contort in entirely unnatural ways. I was forced to use Emacs with the standard bindings for a while and I developed severe aches in my joints within 2 years, at which point I quit using Emacs and now my joints are fine.

    1. Re:It's not computer use it's Emacs use by jandrese · · Score: 1

      The article also mentions how unhealthy habits can be a major contributor to RSI (computer use certainly doesn't help). That said, RMS is the posterboy for unhealthy personal habits.

      I do think having the CTRL key way down in the penalty corner (literally the most difficult place for your fingers to reach on a normal keyboard outside of useless multimedia keys) is a major detriment to using EMACS. IMHO anybody who seriously uses it should remap capslock to control and save themselves considerable pain.

      --

      I read the internet for the articles.
    2. Re:It's not computer use it's Emacs use by Anonymous Coward · · Score: 0

      Touch typists are taught to hit a key with one hand while holding down Shift with the other. That's why modern keyboards have Shift, Ctrl, and Alt on each side. I don't know of any formal studies, but contorting your left hand for half of the most common key bindings strikes me as a bad idea, and it's worth noting that the most common terminals back when RMS was coding heavily (the VT52, VT100, and VT220) all forced the user to do so.

      My captcha is "handicap", of course.

  10. insensed by Anonymous Coward · · Score: 0

    I have carpet funnel syndrome, you insensitive Claude!

  11. Bull-fucking-shit by mechsoph · · Score: 2, Insightful

    Then how the hell did changing to an ergonomic keyboard and trackball stop the excruciating pain in my wrists that I experienced when using my old keyboard and mouse?

    Technically speaking, I probably had tendinitis rather than carpal tunnel. Still, it's rather upsetting when you tell your doctor you have RSI and he doesn't have a clue what your talking about. God damn medical racket.

    1. Re:Bull-fucking-shit by Anonymous Coward · · Score: 0

      You know, the eggheads are probably right. CTS is a ligament issue, as opposed to a soft tissue issue. I'm pretty damn sure that computer use causes the kind of soft tissue degeneration seen in RSI.

      So, I guess science is telling us that RSI ain't CTS.

    2. Re:Bull-fucking-shit by snowgirl · · Score: 4, Insightful

      Then how the hell did changing to an ergonomic keyboard and trackball stop the excruciating pain in my wrists that I experienced when using my old keyboard and mouse?


      Because you were naturally predisposed to an RSI, and and ergonomic keyboard makes things easier on your wrists once they have been inflammed by an RSI. An ergonomic keyboard is not necessary for all people, as not all people are predisposed to RSI, and that's why you have the code monkeys who sit at their computer for hours, and don't develop any RSI at all.

      The only reason why CTS and RSIs appear to be more common in computer users is because we're more likely to aggrevate the situation. It's not that we have more CTS and RSIs, it's because the effect is significantly more pronounced.
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    3. Re:Bull-fucking-shit by blackcat77 · · Score: 0

      That's my experience as well. I also have trouble with the mouse and used a trackball for many years before getting a Logitech Revolution which fits my hand perfectly. The combination of that mouse and a MS 4000 keyboard has reduced my hand and arm miseries to almost nothing.

    4. Re:Bull-fucking-shit by mechsoph · · Score: 1

      The only reason why CTS and RSIs appear to be more common in computer users is because we're more likely to aggrevate the situation.

      And some people smoke till they're 90 and don't get cancer, yet there doesn't seem to be any confusion about what's causing what there.

    5. Re:Bull-fucking-shit by mechsoph · · Score: 1

      MS 4000 keyboard

      Same keyboard I use. One product line they managed to get right. Now if only I could make all those extra buttons work in X.

    6. Re:Bull-fucking-shit by paranode · · Score: 1

      According to the article and the studies cited, other medical conditions can predispose you to CTS but regular computer users had no higher occurrence of CTS than the normal population.

      Do any of these apply?
      rheumatoid arthritis, menopause, hypothyroidism, acromegaly, end-stage renal disease, pregnancy, and obesity :)

    7. Re:Bull-fucking-shit by mechsoph · · Score: 1

      So, I guess science is telling us that RSI ain't CTS.

      There are different flavors of RSI. CTS is a pinched nerve in the carpal tunnel in the wrist that makes your hand tingly and numb. I assumed my problem was tendinitis since my only symptom was pain. All the doctors I saw were too incompetent to tell me anything but "Well, you're not crying in agony, so obviously there's nothing wrong with you," but I'm not bitter or anything.

    8. Re:Bull-fucking-shit by snowgirl · · Score: 5, Insightful

      And some people smoke till they're 90 and don't get cancer, yet there doesn't seem to be any confusion about what's causing what there.


      Unlike smoking, where lung cancer susceptability is likely in the high 90's of precentile, CTS susceptability is very low. Most people will not get CTS no matter how much they use a computer, whereas most people will get lung cancer from smoking.

      The difference is in the likelihood rate, even though both of them are fairly equally the same thing. (Triggering a susceptability.)
      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    9. Re:Bull-fucking-shit by NeutronCowboy · · Score: 2, Interesting

      Thank you. I can't believe how many people there are that point to a decrease in the diagnosis of RSI in the wrists as a sign that RSI is not triggered by computer use. This is completely missing the cause and effect relationship here. I can tell you that when many people joined the .com, a lot of them had very little experience about how to properly use keyboards and computers for extended periods of time (me included). End result? Lots of hurting wrists and fingers. I had to go to a doctor, get a wrist-guard (just like for roller-blades, except less sturdy and flesh-colored), and got some information and how to properly sit and type. End-result of that crash course in computer-ergonomics? No more pain. What do I do when I hear someone talk about wrist and finger pain? I tell them what I was told: sit straight, keep your hands straight, move your mouse with your arm, not your wrist, adjust the height of your keyboard and monitor, and take lots of little breaks.

      The reason that computer-related RSI is not an issue anymore is because we got smart about how to work at computers. Put differently, I'm sure that the first years after tribes figured out how to chop wood involved lots of hacked-off fingers, leg wounds, splinters in the eyes and other accidents. A couple of thousand years later, it's still a dangerous activity, but no one thinks that "axe in hand" is a medical condition - it's a sign that someone didn't pay attention in wood-chopping class. Same thing with computer-induced RSI: it's a sign that someone didn't pay attention in computer-ergonomics class.

      With that in mind, I'm sick and tired of hearing how RSI is a racket because it's not diagnosed as often as it used to be. It's an issue, it's just that we figured out how to deal with it. Not only that, but it's something that everyone needs to know about if they work with computers.

      --
      Those who can, do. Those who can't, sue.
    10. Re:Bull-fucking-shit by mechsoph · · Score: 2, Insightful

      My only predisposition is girly-man wrists. So yeah, some people can use lousy keyboards and do just fine. But saying bad keyboards don't cause CTS/RSI is like saying smoking only causes cancer in people who are predisposed to it.

    11. Re:Bull-fucking-shit by mechsoph · · Score: 1

      With that in mind, I'm sick and tired of hearing how RSI is a racket because it's not diagnosed as often as it used to be. It's an issue, it's just that we figured out how to deal with it. Not only that, but it's something that everyone needs to know about if they work with computers.

      My comment was directed at the medical industry as a whole rather than the RSI specific segment. My experience has been that they charge outrageous prices while often providing worse service than half an hour of googling.

    12. Re:Bull-fucking-shit by pembo13 · · Score: 1

      It could easily just be the work of your mind.

      --
      "Thanks for all the money you paid to us. We've used it to buy off ISO among other things" -Microsoft
    13. Re:Bull-fucking-shit by oh_my_080980980 · · Score: 0


      Another moron who doesn't know what he is talking about. Please show me the literature that proves people are naturally predisposed to RSI. That is the biggest load i have ever heard of or to put another way a cop out.

      The SURVEY - READ NOT EXPERIMENTAL STUDY - didn't prove no relation. In fact it did show that people who used computers saw an increase in RSI. The increase they noted was not statistically significant.

      RSI is related to computer use and it's biggest cause has to do with posture! The way people hold and use the mouse. The way people sit in front of the computer. The position of the keyboard. The pressure they point on the joints. They are all related to your posture when using a computer.

      The survey was a piece of shit! What questions did they ask people? I want a real study that looks at the amount of time in front of the computer and the activities engaged in and the amount of time spent in each activity! I want to know about posture, position of keyboard, mouse in relation to the monitor and the user.

      I want real data. And yes I've conducted research studies before so I know what I'm talking about.

    14. Re:Bull-fucking-shit by tsa · · Score: 1

      Placebo effect.

      --

      -- Cheers!

    15. Re:Bull-fucking-shit by ZombieWomble · · Score: 2, Insightful
      You do realise that "surveys" of this sort are really the only decent method for gathering data on ailments such as RSI which display such a low incidence rate and low correlation with workplace factors, yes? It's not like you can meaningfully do an "experiment" where you assign sufficiently large groups distinct jobs and computer usage time over a period of years to get rigorous results. And they did apply some slightly more rigorous tests to determine how many reported cases of RSI were indeed valid.

      Moreover, I suspect you didn't even read the study in any detail, since in this rant:

      I want a real study that looks at the amount of time in front of the computer and the activities engaged in and the amount of time spent in each activity! I want to know about posture, position of keyboard, mouse in relation to the monitor and the user. You almost perfectly describe the data presented in this study. It broke down users by time in front of PC (and further by time spent on keyboard, mouse, and keyboard&mouse tasks, as well as low input tasks) as well as by general job description, and asked numerous questions on posture and other factors which may affect how one uses a pc - indeed, the majority of the data presented in the actual risk factor tables (3&4) deals with posture.

      If you want to criticise a study, please at least look it over before ranting.

    16. Re:Bull-fucking-shit by Abcd1234 · · Score: 1

      But saying bad keyboards don't cause CTS/RSI is like saying smoking only causes cancer in people who are predisposed to it.

      Yeah, but there's a difference. You see, in the latter case, studies have proven a causative relationship. In the former, the exact opposite is apparently true, despite what you, personally, want to believe.

    17. Re:Bull-fucking-shit by epistemiclife · · Score: 1

      The EXACT same thing happened to me. In fact, my hands hurt and my right wrist for days if I use a "standard keyboard" for fifteen minutes. I've used a Kinesis contoured keyboard for six years now. I'm a CS grad student, and I would not be if I didn't have this keyboard.

    18. Re:Bull-fucking-shit by drix · · Score: 1

      You forgot the word "consarned."

      --

      I think there is a world market for maybe five personal web logs.
    19. Re:Bull-fucking-shit by Anonymous Coward · · Score: 0

      Also got to remember that what's ergonomic for one person isn't necessarily so for another.

      Ironically, RSI relating to computer use was predicted a good while back. Sure people thought "push button-itis" was when those 'ol Jetsons cartoons were new, but it's all too real these days.

    20. Re:Bull-fucking-shit by maxume · · Score: 1

      Do you see the circle you are reasoning in?

      Is computer use the root cause of the repetitive strain injuries? Apparently not. Does using computers cause people that are predisposed to it to get the injuries? Yep.

      --
      Nerd rage is the funniest rage.
  12. Anecdotal by Anonymous Coward · · Score: 0

    Well I've been typing all day, every day for over a decade, no ergonomic keyboard, no special mouse mats, etc, and I've not experienced anything like RSI/CTS/etc. I have, however, had a bad back caused by bad posture, which quickly righted itself when I started sitting up straight. I would have thought that if RSI was caused by computer use, I'd be suffering at least a little, but so far, nothing.

  13. One more thing by kidcharles · · Score: 5, Funny

    Now if they can just definitively show that masturbation does not cause blindness, geeks will finally be able to live worry-free.

    --
    Ceci n'est pas une sig.
    1. Re:One more thing by zsouthboy · · Score: 3, Funny

      It causes rudeness in anonymous forums, you insensitive clod!

    2. Re:One more thing by netzwerg · · Score: 1

      Unless masturbation causes CTS and computer usage causes blindness. But that obviously makes no sense. Wait, does it?

    3. Re:One more thing by Anonymous Coward · · Score: 0

      I could read your post. Nuff said.

    4. Re:One more thing by Experiment+626 · · Score: 1

      I have some bad news for you. I'd elaborate further, but I'm still getting used to the interface of Slashdot's Braille version.

    5. Re:One more thing by Anonymous Coward · · Score: 0

      No it doesn't, you clueless waste of oxygen.

      *returns to one-handed typing*

  14. Not the only cause by jgarra23 · · Score: 1

    I type TONS every day being a developer... my carpal tunnel problems came NOT from computer usage but rather from having a written style FORCED upon my hands and wrists by jerk teachers growing up. No my hands are weak as shit and I can't write more than a paragraph without feeling it. But I can do uhm... other... activities....(lol) just fine, typing included.

  15. Stepmania by aj50 · · Score: 1

    Does the research mention if the results are different depending on whether the computer has stepmania installed?

    --
    I wish to remain anomalous
    1. Re:Stepmania by ricotest · · Score: 1

      As a long time keyboard Stepmania (and piano) player, I have yet to notice any unusual wrist or joint pains. Slashdot consensus seems to be CTS is something you're genetically predisposed to getting, so I'm sure you'd find out whether that's the case as soon as you play your first 10-foot.

      (I play spread and confidently hit streams of about 14-16 notes a second. I think I'm lucky I haven't gotten tendonitis already)

    2. Re:Stepmania by ThePengwin · · Score: 1

      Finally someone said it!

      I scrolled down half the page to find the first instance of stepmania, and if i ever get CTS im blaming it, or Guitar Hero :D

  16. too many variables by Anonymous Coward · · Score: 1, Insightful

    Actually, it would be very difficult to find a link between "computer usage" and carpal tunnel syndrome because there are so many variables. Are they measuring time in front of a screen? Typing time? Mousing time? Here's an important one - ratio of keyboard width to waist size. Sound stupid? Well combine a wide waist with a small-footprint keyboard, and your wrists are held at an unnatural bend (instead of straight in line with your forearms), causing pain. I speak from anecdotal experience. But I got an ergonomic split keyboard, and no more pain (approx 11 hours of computer time per day adding work and home). So it is not necessarily the repetitive motion, but the ergonomics of the motion.

  17. I had carpal tunnel by guinsu · · Score: 1

    I had very bad symptoms through college, was even considering having an operation done. It got a little better after college, but I was still at a desk all day working as a programmer. then I got a nice desk and chair at home, and did the same thing at work. Now I never have problems even though I still type a lot and I also play guitar. I think posture and ergonomics have a lot to do with it, at least in the office world.

  18. I agree by FranTaylor · · Score: 3, Insightful

    I'm older than any of you guys and I spend way too much time in front of a computer (ask my wife!). My hands are just fine, thank you. I got rid of the mouse a long time ago; now I use a trackpad. I also take breaks to go to a window and look off at something on the horizon, it helps prevent the seemingly ubiquitous nearsightedness (literally, not figuratively) among geeks.

    1. Re:I agree by Yath · · Score: 2, Interesting

      I also take breaks to go to a window and look off at something on the horizon, it helps prevent the seemingly ubiquitous nearsightedness (literally, not figuratively) among geeks.


      This statement isn't supported by current scientific knowledge. Wikipedia: http://en.wikipedia.org/wiki/Myopia
      "Near work has been implicated as a contributing factor to myopia in some studies, but refuted in others."

      Personally, I read voraciously, and have stared at a monitor 8+ hours per day for about 20 years. I have no nearsightedness whatsoever.
      --
      I always mod up spelling trolls.
    2. Re:I agree by FranTaylor · · Score: 1

      I don't care what any study says. It makes my eyes feel better. I don't need glasses, that's proof enough for me.

    3. Re:I agree by Anonymous Coward · · Score: 0

      Awwwwww. Do you believe in Wittle Pittle Jeebus too?

    4. Re:I agree by RincewindTVD · · Score: 1

      Except that no matter what you are looking at on your computer, your eyes are focusing on the same distance, holding the muscles/gooey bits in the same position for minutes/hours at a time.

      Going and looking out the window, or even across the office makes your eyes focus on a different distance, which sure can't hurt.

      I had my optometrist recommend this to me once, I can't remember under what circumstances the topic came up.

    5. Re:I agree by Anonymous Coward · · Score: 1, Insightful

      There is no proof that close up work causes myopia and neither is there any proof that 'exercising' your eyes helps prevent myopia. Myopia is usually down to the shape of the cornea and/or shape of the actual eye neither of which flex in a way that looking at distant objects would make any difference too. Eye sight problems related to old age are of usually associated with the lens losing it elasticity and therefore its ability to focus. This is likely down to simple use so changing what you are focusing on frequently probably isn't going to help.

      I think it is far more likely that the correlation between geeks and myopia operates the other way around. People with myopia are probably more likely to become geeks than geeks to become myopic. Perhaps a person with myopia is attracted to close up work because they have problems seeing. I know I had a dislike for anything that required long distance sight as a child. I was 10 when my myopia was spotted. Well after I had become interested in board games and computers and shied away from football and cricket. I was forever being told to move back from the TV as a kid. The prevailing wisdom at the time was that sitting too close to the TV was bad for your eyes. Didn't my Mother feel guilty when it turned out it was because I couldn't see properly that I was sitting so close.

      It could also be that there is some kind of genetic link between myopia and other so called geek characteristics. Myopia often runs in families.

      Perhaps old wives tales you heard back when Noah was a lad are not that best way to measure your health. Hey you bought age into this.

    6. Re:I agree by TheDormouse · · Score: 1

      It probably doesn't prevent myopia, but it might aid in keeping the severity of presbyopia at bay. At any rate, it probably can't hurt to keep the eye's ciliary muscles exercised.

  19. Bullshit by metalhed77 · · Score: 5, Informative

    This story is nothing new. What's really needed is a clarification of terms.

    I have RSI (Repetitive Stress Injuries) and my carpal tunnel is just fine. It's the other nerves, tendons, and muscles of my hands which ache and cause the severe pain. If you try and explain this to people they just say 'Carpal Tunnel Syndrome' unless they're a doctor. Computer use DOES cause RSI which is the real problem, and a really painful and dangerous thing. Other tasks, sewing for instance, can also cause RSI. The phenomenon is not new.

    How the carpal tunnel got so famous I don't know, but the term has stuck.

    --
    Photos.
    1. Re:Bullshit by InvalidError · · Score: 1

      Hand-writing can also cause RSI... as a kid, I often had to take pauses while writing essays because my hands/wrists started hurting, I would not be too surprised if many people's RSI problems started as early as grade-school. For me, writing became considerably uncomfortable during high-school - that was before I started using computers on a regular basis. Now, my hands' fine motor control and RSI discomfort is so bad that writing legibly is very much like torture. On the other hand, my carpal tunnels have yet to cause me any substantial problems - the RSI pain usually forces me to take extended breaks long before the wrist numbness and "pulsing" from carpal issues I have felt a few times before kick in.

      RSI sucks.

    2. Re:Bullshit by Chuckaluphagus · · Score: 5, Informative

      Get physical therapy now.

      I'm completely serious. I had the same problem as you, diagnosed as tendinitis in the backs of my hands, and it made typing at a keyboard all day extremely painful. Physical therapy for two months, twice a week helped immensely and I learned a number of exercises that I can do at my desk that eliminate the pain entirely, if not all of the tension. I'll have to do the exercises for the rest of my life (or stop using my hands for a few straight months and let them rest and heal finally), but they're ten minutes a day and not hard. Physical therapy may be expensive if you can't get it covered under your health insurance/worker's comp, but it's a cost you have to pay now in order to not be suffering for the rest of your life. It's absolutely worth it.

      Plus, for any of you who have gone to a general practitioner who was entirely clueless about RSI, go see an orthopedic surgeon. That was my GP's recommendation and it was spot on. The surgeon knew exactly what sort of damage might have been caused, knew how to check whether it was muscle/tendon damage or nerve damage, and was the one who referred me to the physical therapist. Your GP isn't necessarily clueless, but he or she is a generalist. A specialist will (hopefully) have a lot better understanding of the specific problems and possible solutions that RSI entails.

    3. Re:Bullshit by Anonymous Coward · · Score: 0

      How about Thoracic Outlet Syndrome? Over 10 years ago I woke up with two bulging disks in my neck. There are previous injury scars, bony growth in the neck and distortion of the healing of my left collar bone, however all the XRays and MRI scans indicate they are not severe enough to cause the problems I had - chronic pain, nerve occlusion, and since then many, many, many complications.

      Cause? There are many, and one of them is what was diagnosed as Thoracic Outlet Syndrome. Doctor told me that he sees this problem often in two professions; data entry, drywall hanging. Basically the soft tissue between the shoulder blades goes all hard from the position shared by these people (arms at side, forearms at 90 degrees in front of you) and that compresses on the nerves exiting the spine right there (there's a lot), which causes the muscles to knot or lose their flexibility, and so on. In my case, that was enough to pull my head onto my neck, compressing the disks just enough to touch off the bone spurs on the nerves which sent my muscles into lock-down and spasms in my sleep that essentially gave me whiplash.

      Been 10 years, lots of therapy, exercise and diet regimens, and still a lot of problems - probably because I'm still "assume the position" working on a computer that keeps the soft tissue from staying soft.

    4. Re:Bullshit by brw12 · · Score: 1

      his story is nothing new. What's really needed is a clarification of terms... I have RSI (Repetitive Stress Injuries) and my carpal tunnel is just fine.

      Ditto. I can't find my exact symptoms described anywhere, and I've seen 8 doctors so far, none of whom can describe in any sensible detail what is going wrong. But it seems clear I have RSI and not Carpal Tunnel Syndrome.

      Accupuncture has helped (I am a skeptic, and believe it might just be placebo -- but if so, it's a powerful placebo!), though for the record, it does hurt me, lots. Taking hot baths, MS Natural keyboard, Logitech natural mouse, placing keyboard in my lap, and using these funky wrist splints with shoelaces on the side (Amazon has em) have all helped.

    5. Re:Bullshit by GeneRex · · Score: 1

      What are these excercises you do? I've got pain in wrist and across my hand. My ortho says it's not carpal and it sounds similar to what you're describing.

    6. Re:Bullshit by Anonymous Coward · · Score: 0

      If you try and explain this to people they just say 'Carpal Tunnel Syndrome' unless they're a doctor.
      Not coincidentally, one of the better books I've read on RSI is titled "It's Not Carpal Tunnel Syndrome" (which actually talks about many maladies including carpal tunnel).
    7. Re:Bullshit by ppanon · · Score: 1

      You might want to try using a fountain pen instead of ball-points. Although I do use ball points now since I only write longhand occasionally, I used a fountain pen through most of high school and university. Because you're only lightly stroking the page with a fountain pen, there's a lot less tension on your hand and wrist when you write. Even so, I would still buy a new pen every year or two because I would eventually wear out nibs (particularly the 'fine' nibs) enough that they would start to catch the paper.

      You do have to be a little more careful about smudging the fresh ink but, unless you're left-handed or taking notes in Hebrew, it's not too much of a problem.

      I also had some problems with my right wrist and computers when I was taking classes in Tai Chi (and a bit of Kun Wu) sword that would get aggravated by computer work. Sadly, I eventually had to drop the classes. My wrists started getting better after switching to a wired optical mouse and ergonomic keyboard.

      --
      Laissez lire, et laissez danser; ces deux amusements ne feront jamais de mal au monde. - Voltaire
    8. Re:Bullshit by Chuckaluphagus · · Score: 1
      This is, I think, the exact handout that I was started with.

      I needed a fair amount of work to get back to my normal grip strength. For that, I was given therapy putty in lower grade (yellow) followed by a higher one (green). It's basically silly putty formulated in a specific way to provide different levels of resistance.

      Once I was back to a normal grip strength, I started using a Powerball (you should be able to get them cheaper than that, mind you). I was told by the therapist that exercise with any decent set of free weights should provide the necessary workout and resistance, but the Powerball is a lot smaller and easier to travel with and can be used at the office (the noise is annoying, but not more so than some peoples' desk fans).

      I really do recommend the physical therapy as well, though, because that included massage and heat treatment that made a huge difference at the beginning, and especially because you can make sure you're doing the exercises properly under professional supervision. Once I was back to having functional hands without pain, the therapy was done and I've continued on my own, doing the stretches and using the Powerball, for two years now without any relapses.

    9. Re:Bullshit by fishbowl · · Score: 1

      I've played piano for nearly forty years. I've been typing since first grade, in the early 60s. I've been working with (at least playing with) computers since they were accessed via Teletype. I've spent my career typing and coding. I think I'm a good candidate for RSI or CTS. So when I started having severe pain, I went to the doctor, unsurprised. What did I learn? I learned that I have neither. I learned that I have a birth defect which is a weird shaped extra set of ribs. My thoracic nerve bundle goes out *between* ribs because of it, and every once in a while, will get constricted, causing numbness and pain, and occasionally, persistent agony and near paralysis. Despite decades of typing and playing keyboards, I have no symptoms of RSI. I do have a mild bit of arthritis in my finger joints, but I expect that kind of thing at my age.

      What I'm saying is, I was almost as disappointed as relieved that I somehow don't have CTS. And I still think a lot of people's CTS is a result of bad posture while driving cars.

      --
      -fb Everything not expressly forbidden is now mandatory.
    10. Re:Bullshit by Chuckaluphagus · · Score: 2, Informative

      One more thing: I was told by the orthopedic surgeon and by the physical therapist to not rely on wrist braces. Use them only when necessary (i.e. when you're starting to feel pain), wear them for an hour and then see whether you can make do without them again. Wear them at night to sleep, but only for the first month. It was explained that you can become reliant on them to enforce the correct positioning of your arms and wrists. Then you may not keep up with exercises as much as you should because, with the braces on, the pain is decreased enough that it isn't an issue and you think you're doing all right.

      This applies for tendinitis, I have no idea whether the same advice makes any sense if you have carpal tunnel damage.

    11. Re:Bullshit by Kyont · · Score: 1

      For what it's worth, I completely agree. Even my mediocre university health care staff back in 1994 knew enough to send me to 2 or 3 months of physical therapy sessions to rehab my wrists. I also used wrist guards while sleeping for a few months until I had trained my unconscious mind not to bend my wrists so far while sleeping! The occasional exercises and stretching that I learned there, along with using an inexpensive split curvy keyboard at every computer I'm on, have made all the difference. It has been possible for me to have a long, intense career in IT, with enough mouse-use capacity left over (in my wrists) to read Slashdot since near the beginning.

      Physical therapy is the way to go, and worth every penny.

      --
      You shall see a cow on the roof of a cotton house.
    12. Re:Bullshit by Tikkun · · Score: 1

      Please mod the parent up. I've seen several specialists who all say that I have very little chance of developing CTS, I just have tendinitis and I need to use an ergonomic keyboard, use good posture and take micro-breaks. It's helped tremendously, but please note that I have a family history of bad joints (and I'm only 25).

      http://www.amazon.com/Carpal-Syndrome-Therapy-Computer-Professionals/dp/0965510999

      Sam L.
      Customer Service
      Solid Documents, LLC
      saml@soliddocuments.com
      http://www.soliddocuments.com/

    13. Re:Bullshit by Anonymous Coward · · Score: 0

      Read Healing Back Pain by John Sarno. Cured me nearly overnight. 2 years in excruciating pain and now back to programming all day. About as close as one can get to a miracle.

    14. Re:Bullshit by Breakfast+Pants · · Score: 1

      Tens of thousands of WoW characters.

      --

      --

      WHO ATE MY BREAKFAST PANTS?
    15. Re:Bullshit by Anonymous Coward · · Score: 0

      I'm telling.

    16. Re:Bullshit by cwtrex · · Score: 1

      I'm a bit poor myself. How about just listing the names of those exercises you can do at your desk? I'd (and others I'm sure) would appreciate it. From just the names of those exercises (if there are names), I'll just use Google to look up the rest. I've been looking for some exercises besides the rubber band on the pinky and thumb trick.

    17. Re:Bullshit by Chuckaluphagus · · Score: 1

      Check the first link in this post. It's the same handout I was given when I started PT, it gives a basic depiction of what you should be doing. I'm sure if you Google "wrist tendinitis exercises" you should be able to find more information. Don't overdo the exercises, either; you over-extend your wrists and its just going to set you back a few days again.

  20. Don't really buy it ... by foobsr · · Score: 1

    ... because the layout of the studies seems to simple (I suspect that the risk of CTS is (extremely) increased by covariates - amount of exercise, quality of 'general posture' etc.).

    Besides, the finding "Moderate evidence was concluded for a positive association between the duration of mouse use and hand-arm symptoms." (from a related study, http://oem.bmj.com/cgi/content/abstract/64/4/211 ) constitutes evidence for my pet theory that right-hand usage for 'right'-handed people is not appropriate, as it constrains the well trained hand two only simple movements (I am retraining 'lefthandedness' but did not change the keyboard/mouse layout for that reason, so there is at least single case evidence :)

    CC.

    --
    TaijiQuan (Huang, 5 loosenings)
    1. Re:Don't really buy it ... by trolltalk.com · · Score: 2, Informative

      Moderate evidence was concluded for a positive association between the duration of mouse use and hand-arm symptoms." (from a related study, http://oem.bmj.com/cgi/content/abstract/64/4/211 ) constitutes evidence for my pet theory that right-hand usage for 'right'-handed people is not appropriate, as it constrains the well trained hand two only simple movements (I am retraining 'lefthandedness' but did not change the keyboard/mouse layout for that reason, so there is at least single case evidence :)

      You know you can have more than one mouse, right? I have one one each side of the keyboard, to 2 different usb ports, and they both work find. Grab the one that's the most convenient each time you need to use a mouse, or give each hand a break.

    2. Re:Don't really buy it ... by foobsr · · Score: 1

      You know you can have more than one mouse, right? I have one one each side of the keyboard, ...

      Yes (e.g.), but never had the idea to use two mice myself; I shall give this a try, sounds good (and for sure creates more symmetry/balance (lack thereof related to CTS etc. as well)). THNX

      CC.

      --
      TaijiQuan (Huang, 5 loosenings)
  21. Consumer Reports by Itninja · · Score: 5, Informative

    The latest issues of CR (I'm a subscriber) listed carpel tunnel as one of the most over-diagnosed health problems. Something about a for-profit healthcare industry....just sits weird with me. I wonder how many times it would be diagnosed at all if they couldn't get the insurance companies to pony up the dough.

    --
    I judt got a nre Kinesis keybiartf so please excusr ant egregiou typos.
    1. Re:Consumer Reports by paranode · · Score: 1

      Just imagine a not-for-profit healthcare industry, where the government picks up the tab and all the treatment is "free"!

    2. Re:Consumer Reports by Itninja · · Score: 2, Insightful

      Whoa there. Who said anything about government? Non-profit doesn't mean government funded. They can not be profit driven and still be totally self-funded.

      --
      I judt got a nre Kinesis keybiartf so please excusr ant egregiou typos.
    3. Re:Consumer Reports by paranode · · Score: 1

      Sure, that makes total sense for a provider like a hospital (many are non-profit) but for an insurance company not so much.

    4. Re:Consumer Reports by mechsoph · · Score: 1

      Non-profit works super for credit unions. Insurance isn't that different.

    5. Re:Consumer Reports by Anonymous Coward · · Score: 0

      Ah, so my healthcare would be like my service at the DMV? IRS?

      FANTASTIC!

  22. WTF is with TFA by Sciros · · Score: 0, Troll

    Apparently pregnancy and menopause are "diseases." I also fail to see how it makes any sense to consider those conditions as ones that would "predispose" an individual to carpal tunnel. Have there been peer-reviewed studies showing a causation there or something?

    I smell BS, by which I mean Bad Science. But maybe that's just my usual lazy self not reading things carefully enough.

    --
    I like basketball!!1!
    1. Re:WTF is with TFA by snowgirl · · Score: 1
      Pregnancy is a medical condition, and as such has an ICD codes

      Normal Delivery, Care in Pregnancy, Labor and Delivery
      ICD Codes
      650 Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [eg, rotation version] or instrumentation [forceps] of spontaneous, cephalic, vaginal, full-term, single, live born infant. This code is for use as a single diagnosis code and is not to be used with any other code in the range 630-676
      V22 Normal pregnancy


      As well as menopause:

      627 Menopausal and postmenopausal disorders
      627.0 Premenopausal menorrhagia
      Excessive bleeding associated with onset of menopause
      Menorrhagia:
      climacteric
      menopausal
      preclimacteric
      627.1 Postmenopausal bleeding
      627.2 Menopausal or female climacteric states
      Symptoms, such as flushing, sleeplessness, headache, lack of concentration, associated with the menopause
      627.3 Postmenopausal atrophic vaginitis
      Senile (atrophic) vaginitis
      627.4 States associated with artificial menopause
      Postartificial menopause syndromes
      Any condition classifiable to 627.1, 627.2, or 627.3 which follows induced menopause
      627.8 Other specified menopausal and postmenopausal disorders
      Excludes: premature menopause NOS (256.3)
      627.9 Unspecified menopausal and postmenopausal ydisorder


      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    2. Re:WTF is with TFA by Sciros · · Score: 1

      First of all having an ICD code doesn't make it a disease; there's ICD codes for all sorts of physical conditions. Second, that's totally irrelevant to what we're talking about to begin with.

      --
      I like basketball!!1!
    3. Re:WTF is with TFA by vtcodger · · Score: 1
      ***Apparently pregnancy and menopause are "diseases."***

      Presumably pregnancy forces the arms out to the sides, thus bringing the hands in toward the keyboard at a wider angle which is compensated in the wrist and causes trouble. Probably it's also true that obesity can do that which would account for its presence in the list. (But being too skinny isn't in the list even though logically it might well be a problem for some people.)

      As for menopause ... beats me.

      You're right. The list looks like an arbitrary compendium of the usual suspects for any poorly explained malady in early 21st century Western society. Personally, I was surprised that they left alcoholism, bad attitude, terrorists, drug addiction, and sedentary lifestyle out of the list.

      --
      You can't see ANYTHING from a car, You've got to get out of the goddamned contraption and walk...Edward Abbey
    4. Re:WTF is with TFA by bcattwoo · · Score: 1

      Apparently pregnancy and menopause are "diseases." I also fail to see how it makes any sense to consider those conditions as ones that would "predispose" an individual to carpal tunnel. Have there been peer-reviewed studies showing a causation there or something? I am guessing it was the writer of the website article that lumped them together with diseases and that the journal would have classified them as "conditions".

      Many pregnant women experience generalized swelling, especially noticeable in the ankle and wrists. Presumably that swelling could cause CTS. Anecdotally, I knew of a women who developed practically crippling CTS while pregnant and as far as I know she wasn't doing any intensive computer work at the time. I don't know if menopausal women go through anything similar.
    5. Re:WTF is with TFA by Eggplant62 · · Score: 1

      Increased or decreased levels of progesterone in the bloodstream can cause fluid retention; synthetic forms of progesterone also may do so. Women with naturally excessive or low levels of this hormone, pregnant women, and women going through menopause, either naturally or surgically, may retain enough fluid to have an effect on their wrist symptoms due to increased edema and pressure in the soft tissues beneath the carpal ligament.

    6. Re:WTF is with TFA by snowgirl · · Score: 1

      You're using the wording of a journalist's article to defeat me?

      I don't think they are diseases, but rather medical conditions. The Journalist thinking about dumbing down the article or just from plain stupidity, established that medical condition => disease.

      --
      WARNING! This girl exceeds the MAXIMUM SAFE standards established by the FDA for BRATTINESS
    7. Re:WTF is with TFA by Sciros · · Score: 1

      :-/ I wasn't trying to defeat you or anything. I agree with you that they're conditions rather than diseases; you're probably right about the journalist either way. I thought you were defending the journalist's wording at first, is all. ^^

      --
      I like basketball!!1!
  23. Depends on your position by lymond01 · · Score: 4, Informative

    As far as the aches and pains of computer use my experience is such:

    1) 11 hours straight of Everquest - no pain from mouse or keyboard
    2) 6 hours of Quake (back in the day) - no pain from mouse or keyboard
    3) 20 minutes of mouse use at odd angle (but not so odd as to say other people wouldn't use a mouse like this) - back of hand starting hurting
    4) Couple days of keyboard and mouse use on bad desk setup (keyboard high, forearms rest on edge of desk, etc) - shoulder and elbow pain.

    I know what my body does and doesn't like. Relaxed shoulders, no reaching for the mouse, etc.

    1. Re:Depends on your position by CastrTroy · · Score: 1

      I know that's true for me. If I go over to someone's desk, and try to show them something, and use their mouse while standing, then I know i'm in for trouble. Just 20 minutes of that will make my wrist ache. And the pain will stick around for quite a while. I've found I've been able to stay pretty much pain free just from using a trackball, which remains stationary, so I never have to reach for the mouse.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
    2. Re:Depends on your position by urbanriot · · Score: 2, Interesting

      After a full day of computer work, followed by an evening of Steam or WoW, my mouse clicking wrist hurts with a very sharp pain to both my wrist and the ends of my fingers. If I stop gaming for a few weeks, this pain eventually goes away for a few months.

      Is this carpel tunnel or RSI? Or something else?

      As an aside, I didn't believe that these problems existed until my late 20's, when I started experiencing them after a lifetime of the same pattern of computer use.

    3. Re:Depends on your position by nickyj · · Score: 1

      I would say it's RSI, you can rehab it yourself if the pain isn't too bad. I'm not a doctor, but I had a similar experience as you. I never went to a doctor, what I did was first fix my posture and KB/M setup on my desk at home and work. I got the Smart Glove, but anything that gets rid of the stress on your hand at odd angles will work (wristpad, etc). Then I avoided KB/M use until the pain went away for a few days. Then I started to work out the wrists with small weights, like dumbbells. I started doing small exercises and then I started doing Tae Kwon Do, but any workout is better than none. Basically I worked out more often and the pain subsided and went away completely for good. Now my pain only comes back if I use KB/M at a bad angle/posture for more than an hour and that pain goes away as soon as I stop.

      --
      Causing Chaos Everywhere,
      Nik J.
      The strange world of a loner, in a populous city, drowning in society
    4. Re:Depends on your position by hellfire · · Score: 1

      1) 11 hours straight of Everquest - no pain from mouse or keyboard

      But puts a tremendous hurt on your love life.

      --

      "All great wisdom is contained in .signature files"

    5. Re:Depends on your position by lymond01 · · Score: 1

      Yah...I was on vacation at my father's house at the time (girlfriend was on the opposite coast). That was the longest sitting at that game. I managed to get Ghoulbane though. ;-) After two years of EQ, I dabbled in others but once you're over the addiction, it's hard to go back.

    6. Re:Depends on your position by herbierobinson · · Score: 1

      It's RSI. Carpel tunnel is a specific kind of RSI (and a widely abused term). A doctor or physical therapist can tell you if it's carpel tunnel or not, but it probably isn't.

      Susceptability to RSI's varies, but bad posture combined with excessive use and no breaks is often the cause.

      Go see a physical therapist who knows how to treat RSI. One who works with musicians is probably a good bet, because musicians get it worse (practicing the piano too much is a good way to get carpel tunnel). You want them to help you modify your work environment and or posture so it doesn't happen any more. They can also make it go away faster (as in a few days).

      --
      An engineer who ran for Congress. http://herbrobinson.us
  24. SoreHands by Anonymous Coward · · Score: 0
    This guy used to be a regular on slashdot, regaling us with all his stories of getting CTS and fighting with his ex-employer over medical coverage. He was posting under the slashdot name "SoreHands" but it doesn't seem to be around anymore (or I can't find it).

    I don't think he would appreciate this news.

  25. Carpal Tunnel != Repetitive strain. by $kr1p7_k177y · · Score: 2, Informative

    A lot of people confuse the two. It's very easy to get repetitive strain from using a computer. Wrist pain/weakness need not come in the form of carpal tunnel syndrome.

    Computer work decreases blood flow to the wrist. In the absence of complementary activities that increase blood flow to the wrist, computer users are at risk of RSI.

    1. Re:Carpal Tunnel != Repetitive strain. by noldrin · · Score: 1

      Yes I agree.. I got repetitive strain from using a mouse. I switch the mouse to the other hand for a few days and it got better. I doubt CTS would have gone away so fast. It helps to keep your wrists straight so blood can blow to them and to give them breaks.

    2. Re:Carpal Tunnel != Repetitive strain. by herbierobinson · · Score: 1

      Actually, I was told that Carpal Tunnel is one specific kind of tendonitis and tendonitis is one kind of RSI.

      I had tendonitis about 20 years ago from heavy terminal use combined with bad posture. It took a long time to get rid of it, but only because the physical therapist at the HMO didn't know how to deal with it. I still get situations where it starts to come on, once in a while, but if I go after it with cold/hot therapy and anti-inflamatories at the first sign of trouble, it gets stopped right away. Theraputic massage has helped, too.

      The main point is, deal with it immediately and get help learning how to fix it. Tendonitis involves a positive feedback loop (rubbing causes swelling, swelling causes more rubbing). It also can cause permanent damage if you ignore the signs that something needs to be corrected -- this is not the time to prove you are tough.

      --
      An engineer who ran for Congress. http://herbrobinson.us
  26. I didn't know that was a disease by Minter92 · · Score: 1

    FTA "Classically the associated diseases are the following: rheumatoid arthritis, menopause, hypothyroidism, acromegaly, end-stage renal disease, pregnancy, and obesity. "

    I wasn't aware pregnancy had been declared a disease :)

  27. My Owner Beats Me by Riddler+Sensei · · Score: 3, Funny

    Oh Lordy, the number of posts so far NOT involving spankin' duh monkey can be counted on one hand. Which is GOOD because my other hand is entirely busy at the moment.

    1. Re:My Owner Beats Me by famebait · · Score: 1

      Oh Lordy, the number of posts so far NOT involving spankin' duh monkey can be counted on one hand. Which is GOOD because my other hand is entirely busy at the moment.

      While reading slashdot? Wow, there really _are_ some real nerds here...

      --
      sudo ergo sum
  28. Meaningless Anecdote by cs668 · · Score: 1

    I know that my little anecdote only adds one sample to this set of data. But, for me it didn't cause the injury it just kept if from being able to heal.

    I hurt my wrist playing volleyball and the inflammation that I had caused the median nerve to be squeezed and gave me some nice Carpal Tunnel symptoms. I had never had problems with this before, but it seemed to get worse after the injury with computer use and would not heal. I had never had a problem with mouse use before so this was really frustrating.

    I ended up buying a vertical mouse and after about 3 weeks problem gone. I can only assume that the inflamed tendons where rubbing in the tunnel and staying inflamed.

    Now I don't worry about the mouse I use and the problem has not come back 4+ years later. I still take out and use the oddball vertical mouse though.

    But, mouse use definitely caused my wrist pain to stick around longer than it needed to.

  29. Driving by fishbowl · · Score: 5, Interesting

    I'm reasonably convinced that poor posture and hand position while *driving* contributes more tho CTS and/or RSI than typing does.
    I think it's a serious confounding variable, that most office workers have those two things in common: significant time spent driving a car, and typing on computer keyboards.

    --
    -fb Everything not expressly forbidden is now mandatory.
    1. Re:Driving by Snocrash23 · · Score: 1

      I would have to agree with bad posture being a culprit. A guy I worked with a couple years back had CTS and the doctors told him it was due to some pinched nerves in his neck. To remedy the problem they told him to loose weight, get a better posture and massage his neck area when he can... though this was from a Canadian doctor, what could a government-run health care system possibly know ;)

      --
      Homebrew Science: http://homebrewscience.com
    2. Re:Driving by JesterXXV · · Score: 1

      I agree. I've been seeing a physical therapist for a few months now for some thoracic outlet stuff, and after driving for about 5 or 6 hours this past weekend, it's now flared up again. Also I'm quite sure the start of the pain was correlated to my purchase of a new car. I always used to rest my right hand at about 4 or 5 o'clock with my elbow on the armrest, but on my new car the armrest is not long enough. This causes lots of tension in the thoracic outlet muscles (I think?)

      --
      Yo mama so fake, she failed the Turing Test.
    3. Re:Driving by fishbowl · · Score: 1


      "I agree. I've been seeing a physical therapist for a few months now for some thoracic outlet stuff, and after driving for about 5 or 6 hours this past weekend, it's now flared up again."

      Mine's due to a birth defect: Extra ribs that cage the thoracic nerve bundles. Get an MRI and see if something like that is going on. I was quite surprised, to say the least. This kind of stuff doesn't really show up well on X-Rays, but on an MRI scan it's plain as day.

      --
      -fb Everything not expressly forbidden is now mandatory.
    4. Re:Driving by rla3rd · · Score: 1

      I'm reasonably convinced that poor posture and hand position while *driving* contributes more tho CTS and/or RSI than typing does.

      That comment gives a whole new meaning to *pole position*.

    5. Re:Driving by rrohbeck · · Score: 1

      A couple of years ago I had chronic pain in the lower joints of both thumbs. Until I read an article in Mens' Health about exactly that. Root cause is driving with your hands hanging by the thumbs off the spokes of your steering wheel.
      I changed my hand position while driving (gripping only the rim with the thumbs outside) and haven't had the problem since.

    6. Re:Driving by RAMMS+EIN · · Score: 2, Interesting

      I get RSI symptoms from driving more than from typing, so I'll second that. But the factor I've found contributes most to RSI is _stress_. I can drive without problems for hours, and I can type at a keyboard all day in the wrongest postures, no problem at all. But the first few days on a new job I need to really take it slow, and if I put myself behind the wheel when worked up about something, my hands and whole upper body will hurt in a matter of minutes.

      I really think stress is the real culprit. Unfortunately, it's very hard to stop...

      --
      Please correct me if I got my facts wrong.
    7. Re:Driving by bbtom · · Score: 1

      Depends. To test this hypothesis would be pretty easy. Compare rates of RSI in suburban/rural computer users (including both office workers and geeks) with those who work in large metro urban areas. If driving is a significant cause, then people who live in places where it's impractical to drive but who still use computers should have lower incidence rates.

      A completely unscientific survey (sample size: 1). I live in the rural suburbs outside London. I haven't taken a driver's test. I travel primarily by commuter rail (~65 minutes each way). I'm 22. Just finished a Bachelor's degree, and write software. I've had RSI (or at least the symptoms thereof) for a few months. Just battling to get the National Health Service to recognise that, yes, RSI exists, and that I should see a specialist now and risk a false negative than sit back, wait and risk a false positive. I attribute my RSI symptoms to mouse use.

      It is an interesting hypothesis, though. Some other people have suggested stress, and exercise. Those are probably good explanations. Causes of RSI need better investigation, and treatment needs to be far more quick. Also, teaching kids in school things like touch typing and typing posture would probably be a good idea. Two-finger hunt-and-peck is, alas, far too common.

      --
      catch (HumourFailureException e) { e.user.send("You, sir, are a humourless idiot."); }
  30. constant typing on a keyboard... by circletimessquare · · Score: 1

    of an internet connected computer, in private, leads to porn

    porn leads to chronic masturbation

    chronic masturbation leads to carpal tunnel syndrome

    so yes, computer use actually causes carpal tunnel, but not through the mechanism in question

    you could test this theory by testing a corollary of it: computer use leading to more penises that curve to the right. most people are right handed and some have a bad death grip masturbation style, so chronic masturbation sometimes causes peyronie's disease (as well as loss of sensitivity in general. so lighten up there, death grip kiddies). so therefore, i bet you could make a mark in the medical literature by noting an increase in right curving penises over the past two decades due to the explosion in internet porn, as well as more carpal tunnel syndrome

    i say this all in half jest, but i'm beginning to sound more serious than i intended, so i'll go to full jest to compensate:

    i for one hail our broken wristed bent penised porn addicted overlords

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
  31. Gitoffayerbutt!! by Stringer+Bell · · Score: 1

    Interesting research. I'll have to check it out. In the meantime, here's my obligatory retort in any hand-problem related thread:

    Get off your butt and go exercise. Whatever the cause, *if* you have hand problems, exercise *may* help. It works wonders for me, and I spend 50 hours a week typing on the computer. Even if it doesn't help your carpal tunnels, it's good for you in lots of other ways. Don't argue, just do it.

    IANAD, YMMV. (DNRTFA. Yet.)

  32. My observation... hardly scientific by radiumhahn · · Score: 2, Insightful

    All the geeks I know with CTS are also urban bicycle enthusiasts. My theory is that the amount of jarring impacts and the force of them over time contribute CTS. What is weird to me is that all the CTS people I know are fit. Exercize regularly. The chubby geeks drink their dew and type at 120 words per minute with seemly no apparent problems other than being on the fast track to diabetes.

  33. Where then? by tesmar · · Score: 0

    If it is not computer use, then what other activity would lead to so many slashdotters having carpal tunnel?

  34. yes. by pair-a-noyd · · Score: 1

    I have an MS fingerprint reading keyboard (doesn't work in Linux) and a MS wireless mouse.
    The keyboard is so-so but the mouse is horrible. The wheel is hard to turn and I have to put more pressure on the wheel than normal to turn it.
    After a day of that my fingertip hurts. It's numb and feels like I smashed it with a hammer. So all day long I find myself using different fingers on the wheel. Even the next day when I get up after sleeping and having been off the computer for 8+ hours, my fingertip still hurts. It's pretty much permanent. A numb pain like I smashed it.
    Also the back of my hand hurts like hell too. It's 100% from using the keyboard and mouse.
    I've tried all the weird ergonomic keyboards but none really help. Maybe some of the exotic types would be better but they are too expensive.
    I guess this is to be expected though considering I spend 16+ hours a day at the computer.

    1. Re:yes. by nilesh_tms · · Score: 1

      Read my last comment.

    2. Re:yes. by pair-a-noyd · · Score: 1

      Thank you.
      I have chronic back pain due to a terrible injury and surgery. I scanned over the doc and it mentioned back pain too.
      I'll be reading this today for sure. :)

  35. He's just fudging the issue by suv4x4 · · Score: 1

    Yes, computers specifically have nothing to do with it. It has to do with genetics and has to do with repetitive motion and/or pressing the nerves of your hands against some hard surface.

    Doesn't change the fact people who use mice, keyboards and posture in a certain way end up with CTS.

    A totally random anecdotal example: I use mouse. After 10 years, CTS. Bought Wacom, no pain, use mouse, pain, use wacom, no pain, use mouse, pain.

    After year of exclusive wacom usage, no pain with mouse nor wacom. After using the mouse for some time, again pain.

    I think I'll conclude mice is not good for my hand and keep on using my Wacom

  36. Cause? to what confidence level? by redelm · · Score: 1
    There are always problems with perfect causal proof. Some people get CT without computer use. Some people who heavily use computers don't get CT. So the linkage is far from perfect. And the lawyers lawyer.

    But what appears undeniable is that if someone is sensitive or already suffering from CT, then some computer use can aggravate it. Especially mouse use from poorly designed programs. Some are just have horrible ergo, and my wrists will ache after an hours' use. Normally, I can type all day long.

  37. Hush by Kohath · · Score: 3, Funny

    Hush. You're ruining it for the lawyers. How do you expect lawyers to cash in? People are in pain and the lawyers haven't fully exploited the moneymaking opportunity yet! Computer companies have deep, deep pockets, you know.

    Wait until the companies have settled up and gone bankrupt. Then let it slip quietly that the whole thing wasn't true -- just like they did with the silicone gel breast-implant cases. Those were found to be harmless after the lawyers got paid.

  38. My Personal Story by curunir · · Score: 5, Interesting

    About 6 years ago, I had CTS. I had just about the worst posture, hand position and everything else you could possibly imagine. And, as a programmer who spends at least 40 hours a week in front of a computer, it was starting to catch up with me. However, around that time, a friend of mine invited me to come rock climbing with him. I liked it so much that I started going to a local gym around 2-3 times a week. And a funny thing started happening...my CTS started to go away. About 3 months into my climbing habit (yes...it's an addiction), I was free of CTS pains entirely. I still have just about the worst ergonomics you could imagine, yet I have zero pain.

    What I believe is going on is that CTS/RSI pain is not caused by doing one thing too often or putting your body in one position too often. Instead, it's caused by not doing other things often enough or putting your body in other positions often enough. I don't have any proof of that except for my own personal experience and the experiences of others that I've told, but those seem to indicate that bad posture/ergonomics can be counteracted by regular exercise of the affected area.

    --
    "Don't blame me, I voted for Kodos!"
    1. Re:My Personal Story by Anonymous Coward · · Score: 0

      Absolutely! RSI is not caused ONLY by doing to much of one activity, but by also doing to little of other activities.

      I imagine Rock climbing would excellent hand therapy.

    2. Re:My Personal Story by mugnyte · · Score: 1


        I agree. I've been programming (mostly cmd line style) for almost 15 years straight and the 3 or 4 times i get to the rock gym are excellent relievers for poor posture, store joints, etc.

    3. Re:My Personal Story by Chuckaluphagus · · Score: 1

      I would suggest that you had tendinitis and not carpal tunnel. I'm basing this on my own experience, since I developed tendinitis and was taught that the way to control it was through regular hand and forearm exercises. Rock climbing fits that bill perfectly, of course. Since carpal tunnel is nerve damage, I'm not aware that you can cure/quell it through exercise.

    4. Re:My Personal Story by Anonymous Coward · · Score: 0

      Yes, and if you follow the rock climbing path to its end, you'll come full circle (where I am): completely addicted to climbing, and with finger injuries from too much weight on individual pulleys and tendons.

    5. Re:My Personal Story by RAMMS+EIN · · Score: 1

      Yup. What I think causes the pain is just cramped muscles. For me at least, these happen because of stress. I get RSI symptoms even when not doing any of the typical risky activities. What helps is just doing something with your hands while not under stress. Like some kind of sport you enjoy. Rock climbing, in your case. Posting on Slashdot, in mine. ;-)

      --
      Please correct me if I got my facts wrong.
  39. Amen - especially by Anonymous Coward · · Score: 0

    Especially since many, many people have a white-knuckled deathgrip on the steering wheel during that drive, due to congested and/or dangerous traffic conditions. That's gotta be hard on the tendons and joints.

    1. Re:Amen - especially by tholomyes · · Score: 1

      Plus the headaches that come from alternatively either staring at a screen or clenching one's jaw at people driving 50 mph inches from each others' bumpers. If I just recall those feelings, I can much more easily find the motivation to get up early enough to bike to the rail station in the morning.

      --
      When did the future switch from being a promise to a threat? -C. Palahniuk
    2. Re:Amen - especially by fishbowl · · Score: 1

      >If I just recall those feelings, I can much more easily find the motivation to get up early enough to bike to the rail station in the morning.

      I went as far as to move to a town where my workplace could be in a nice neighborhood to live in. I'm not sure what kind of job would ever tempt me to go back into a situation that required traveling by car or train to be there. I put the value of "not having to commute" at around $150K per year, meaning, that's the value on *top* of salary, or putting it another way, approximately what I walked away from in order to avoid it. This isn't hypothetical or speculative. I actually did this.

      --
      -fb Everything not expressly forbidden is now mandatory.
  40. Let me tell you.... by mark-t · · Score: 1

    My CTS flares up about once every 5 to 8 weeks. What I will do is wear wrist braces when it's acting up to give my wrists some extra support while I continue to work. If the pain is bothersome enough, I will also take a T3 with codeine, but I _NEVER_ just take painkillers when I am experiencing discomfort. I always adjust my working conditions so that I don't accidentally make matters worse. Usually I will need to wear the wrist braces for about a week to 10 days before I find that it's subsided enough to type without them again (which I prefer because although typing with them causes less strain on my wrist, I can type faster without them) . If you do get wrist braces as a means to cope with this, be sure to get ones from a medical supply shop that actually limit the wrist movement in all directions, not the cheap ones you can buy at a pharmacy that only really stop your wrist from bending backward.

  41. Yes, but by Anonymous Coward · · Score: 0

    The alternative leads to decreased brain functioning, so which is really worse?

  42. I have two classic personal examples by Aaron32 · · Score: 1

    I use the computer on average about 12-16 hours a day (from 7am to almost midnight in some cases). I don't have a single pain or symptom of capal tunnel. I don't use a keyboard wrist wrest nor anything fancy for my mouse. My wife, probably at most 1/3 of time time and had carpal tunnel relief surgery in one wrist and the other one might need it too. The doctor found rheumatoid nodules in her tissue around her wrists. I personally believe (based only on these two cases) that the cause is more towards weight and heredity rather than actual use of the wrist.

  43. Indeed by paranode · · Score: 3, Funny

    I call upon them to Ctrl-Shift-Underscore everything they have said about Emacs!

  44. Another potential cause discounted by GodfatherofSoul · · Score: 1

    My *ahem* research has also ruled out masturbation as a potential cause.

    --
    I swear to God...I swear to God! That is NOT how you treat your human!
  45. common isn't causality by thtrgremlin · · Score: 1

    This reminds me of when Silicon breast implants were outlawed and lawyers made big money on settlements because a huge number of women with silicon implants got breast cancer. The reality is that women with breasts (directly related to the amount of mammary tissue) are at high risk of breast cancer. It is why unlike anything else women are encouraged to check themselves monthly. If I remember correctly, 1 in 3 women will develop some kind of mammary growth in their lifetime. That is a really scary number, particularly if you thought it was inly in your most recent cosmetic surgery.

    But also keep in mind that these studies covered people who type for 7 hours a day for less. I doubt many of you old school nerds have done less than 7 hours of typing in a day in years.

    I am curious how much keyboard warnings, wrist exercises and improvement in posture for hands, let alone the rest of the body, has possibly had an influence on the way we type, or if this had always been the case.

    For the mentioned occupations in the article, I know many times more of those types that have carpel tunnel. Typing just doesn't require the type of strength necessary to damage carpels in that way, so it seems. This, of course, doesn't include all those people that insist on doing isometrics while playing CS or whatever. RELAX!

    --
    Want Big Business out of government? Take away the incentive and start by getting government out of big business!
    1. Re:common isn't causality by Anonymous Coward · · Score: 0

      >This reminds me of when Silicon breast implants

      That's "Silicone".

      http://en.wikipedia.org/wiki/Silicone
      http://en.wikipedia.org/wiki/Silicon

      HTH. HAND.

  46. Me too by Anonymous Coward · · Score: 0

    I had very bad symptoms through college, was even considering having an operation done. It got a little better after college, but I was still at a desk all day working as a programmer. then I got a nice desk and chair at home, and did the same thing at work. Now I never have problems even though I still type a lot and I also play guitar. I think posture and ergonomics have a lot to do with it, at least in the office world.

    You pay them money and they will say it is midnight at 12 noon.

    These guys are quacks. I have known many people in this business of computing that have RSI and not one outside of it. I too have had bouts with it twice, and once other stange incident. There is no doubt in my mind it exists. When you get that sharp pain, there is nothing else like it.

    But there are ways to cope, and those that get it really bad do not listen to the early warning signs. Once you get them, start a regiment of the following:

    • Use the mouse with the other hand giving the tender one a break, for at least 4 months
    • In idle time, flex without stress the afflicted hand. Just get in the habit.
    • Get your chair to a hight where your forearms are level with the desk.
    • Use a keyboard that does not require a lot of push to get the keys working
    • Get arm rests, and use them when reading.
    • Tear the cord out of the track ball and get a new laser one.
    • If you have to move the mouse more than 1 inch, set the sensitivity higher.

    The strange incident is where I went on a 8 day fishing trip. We fished 10 hours a day, often casting, tension and twisting the forearms. It was a h00t!

    Get into the office Monday am, use the mouse for 15 minutes and bursitis balloons up on my elbow. Now I know the mouse didn't "cause" it but sure was the catalyst in aggravating it big time.

  47. I don't think RSI is caused by computer use either by nilesh_tms · · Score: 0, Redundant

    The following might explain what RSI really is (which is different than CTS, which I don't think is caused by computer use or repetitive strain at all). I am pretty much copying and pasting what I wrote the last time there was a Harvard research article about this subject:

    I cured what I thought was "RSI" using this "mindbody" approach:
    http://www.rsi.deas.harvard.edu/handout.doc
    (Coincidental that Harvard is hosting this document, maybe the researchers should look at it themselves)

    Here is the Google cache for those who don't want to open a .doc.

    I suffered for 1.5 years (where I didn't work because I didn't think I could) before I found that my cure was a completely psychological approach. From my research of CTS (as well as what my doctor told me), it is completely unrelated to typing. And from my experience with "RSI" and understanding what it actually was, I no longer believe you can actually hurt yourself from typing too much.

    I now type sometimes all day long without taking many breaks. I play guitar, bass, and drums. I don't worry about posture at all. Ergonomics are only a way for me to get comfortable, not to avoid injury. I have no pain at all, and don't worry about ever having "RSI" again. It's been 3 years since I cured myself.

    Please read up on the approach I'm talking about here before you flame me. It actually makes sense once you put all the pieces together. You can also search for "sarno tms" to find more info.

    Read the book "The Mindbody Prescription" by John E. Sarno if you can.

  48. Regardless.... by pablo_max · · Score: 1

    Regardless of this guys "Findings", I can say with certainty that after coding or using my PC's mouse for an extended period of time, my wrist and hand does hurt for a considerable amount of time. I often find that I have to take a time out from using the mouse for a bit during the work day. I also notice that my hand/wrist does feel a lot better when I take a holiday and have no interaction with a computer for a couple weeks time. Granted, this evidence is anecdotal, but for me the correlation between the two is clear.

  49. I've only ever had carpel tunnel once... by MufasaZX · · Score: 1

    ...and it wasn't from the 20'odd years of intense computer geekery I've subjected my body too. A couple years ago I first did one 4 day long weekend road trip from San Jose to the Grand Canyon and back, and then two weeks later a 5 day road trip through the national parks of Utah. The final day on that second trip I drove all the way from Salt Lake City to San Jose in one go, left arm on the window sill of my Nissan Murano, left wrist tense holding the wheel... The numbness and tingling pain started a couple days later, and after a diagnosis from the Dr. I wore a brace night and day for a month until the symptoms went away. Now I always wear a brace on my left wrist when doing multi-hour road trips, never had a problem since.

  50. Re:I didn't know that was a disease by achilles777033 · · Score: 1

    I beleive that it qualifies as a parasitic infection.

  51. Re:Bull-fucking-shit? by Anonymous Coward · · Score: 0

    doesn't matter if it's bullshit. now that it's been claimed on a front page slashdot article, at least thousands of geeks will now adopt this viewpoint as fact, most likely without even reading the article.

  52. Re:Not actually computer use that causes it... by infonography · · Score: 4, Funny

    ... the real cause are the millions of pr0n sites users visit while using their PC. Thats only true if one hand is effected as in one-hand-typing. If both hands have it then it means that user is actually doing real work. (unless they have blog which is another form of masturbation) See my blog for further details.
    --
    Sorry about the writing. Robot fingers, you know? Cliff Steele in DOOM PATROL #23
  53. as i get older, it gets more painful by Anonymous Coward · · Score: 0

    things i used to do, i don't even try, one reason is I'm not as physically active or fit and, as well, I'm far more aware of the long term consequences since I'm already living with a few

    oddly enough, when the biggest pain left, only then did I really miss her ;~|

  54. Of course it doesn't! by Hawthorne01 · · Score: 0

    I've been using personal computers since the old days of the Commodore Pet, and I can tell you for a fact that keyboards have never caused me any pasgdaserawadags at all.

    --
    "Only two things are infinite, the universe and human stupidity, and I'm not sure about the former."
  55. just one way by Chewbacon · · Score: 1

    Moving your fingers for a prolonged amount of time with your wrists bent will cause carpal tunnel. So there's many possibilities: guitar, playing piano, using your stress squeeze-me ball, constantly sending text messages. The real question is: do we have too many things we operate with just our fingers?

    --
    Chewbacon
    The Bible is like Wikipedia: written by a bunch of people and verifiable by questionable sources.
  56. I smell by Capt+James+McCarthy · · Score: 1

    the Insurance industry at the bottom of this.

    --
    There are no loopholes. It's either legal or it's not.
  57. Re: The agenda of the article is spelled ... by margretli · · Score: 1

    I think it's more like the insurance companies and employers.

  58. Guy is wacko. by Ancient_Hacker · · Score: 1
    It's well known CTS is due to repetetive motions, without variation in position.

    Most computer users have the option of shifting their chair and keyboard positions, they tend to be okay. It's people that are stuck with 8 hrs a day of one keyboard position that are harder hit.

    A friend of mine got a bad case of CTS after a month long binge of using the original IBM PC keyboard, you remember the click-clacker model. It's taken over 15 years for it to subside somewhat.

  59. Re:I didn't know that was a disease by John+Hasler · · Score: 1

    Well, it can be cured by surgery.

    --
    Warning: this article may contain humor, sarcasm, parody, and perhaps even irony. Read at your own risk.
  60. Re:Not actually computer use that causes it... by kdemetter · · Score: 1

    smite ?

  61. Ob: One handed browsing joke by Anonymous Coward · · Score: 0

    Good to see your carpal tunnel operation won't affect your sex life! /Sorry about that, truly, best wishes. //Has a mostly one handed browser sex life myself /// :(

  62. Re:I didn't know that was a disease by Dachannien · · Score: 1

    You apparently don't watch enough Cops.

  63. Pregnancy is a disease? by Fantastic+Lad · · Score: 2, Interesting
    The studies being quoted in the article were published in 1991 and 1992. I don't know about the rest of the world, but I didn't even have an internet account until several years later. Heck, 'Doom' didn't even come out until 1993. How is this relevant? Well, until people started messing up their wrists on their own time as opposed to in the work place, there was plenty of incentive to make sure that the victim was blamed and that therefore no money would flow from corporate and insurance coffers to pay for medical bills.

    Yeah, there are a couple of points in those fifteen year-old articles which are sort of interesting. --That if you have arthritis, then you may be at higher risk. (Duh. --Though such points are important to medical insurance companies; if you have a prior condition, then you aren't going to be covered for your injuries.)

    In any case, I don't really see why articles published fifteen years ago when RMI's were still a relatively new and misunderstood concept are suddenly worth getting upset over. It might be that the editor isn't too swift. . .

    "Classically the associated diseases are the following: rheumatoid arthritis, menopause, hypothyroidism, acromegaly, end-stage renal disease, pregnancy, and obesity. Even then the data is not clear that the repetitive use contributes any."

    Menopause is a disease? Pregnancy is a disease? No. But ending a sentence with the word 'any' is evidence of poor journalistic skill.

    Seriously, the original claim looks like science making the classic mistake; if the lab can't explain a phenomenon, then obviously the observers out there in the public are at fault. It's swamp gas or hysteria, (menopause?). Or indeed, maybe the money funding the studies came from corporations worried about having to pay out on medical claims. Who knows? What I do know is that if you use your hands in certain sitting-at-desk work for long enough without breaks, your wrists and joints start to hurt and your back and neck can get messed up, and the skin can even wear right off the parts of your hands rubbing against the desk / paper, etc. --I knew an animator who ruined her hands trying to meet a crazy deadline with a crazy amount of work and ended up smearing blood across her easel. She was unable to work for several months afterwards. But then I suppose we can just blame her chronic condition (being female) rather than repetitive motion stress for the injury.

    What a silly article.


    -FL

    1. Re:Pregnancy is a disease? by antifoidulus · · Score: 1

      Well, if something implanted itself in you, started sucking massive amounts of your nutrients, caused you to vomit, and caused extreme discomfort, etc. wouldn't you call that thing a "disease" :P

      To quote The Onion: "Woman overjoyed about uterine parasite"

    2. Re:Pregnancy is a disease? by Fantastic+Lad · · Score: 1
      Well, if something implanted itself in you, started sucking massive amounts of your nutrients, caused you to vomit, and caused extreme discomfort, etc. wouldn't you call that thing a "disease" :P

      Perhaps, but only in the very etymological sense of the word. That being, 'Dis-Ease'.


      -FL

    3. Re:Pregnancy is a disease? by VisceralLogic · · Score: 1

      "Classically the associated diseases are the following: rheumatoid arthritis, menopause, hypothyroidism, acromegaly, end-stage renal disease, pregnancy, and obesity. Even then the data is not clear that the repetitive use contributes any."

      Menopause is a disease? Pregnancy is a disease? No. But ending a sentence with the word 'any' is evidence of poor journalistic skill.
      Holy crap! Using a keyboard all day causes pregnancy?! I wondered why all my male coworkers were going on maternity leave!
      --
      Stop! Dremel time!
  64. Fear sells! by capnkr · · Score: 1

    Fear is the #1 way to get a customer to buy a product. Why do you think "FUD" starts with it?

    Make 'em fear for their life, or their childrens lives, or of some disease, or 'Act of God', or of, well, anything...

    Like patent infringement...

    Anyway: Fear sells.

    You don't wanna get carpal tunnel? Buy our keyboard/mouse/pad/whatever. Look, here's scientific data to back it up.

    Or not!

    (Posted by an RSI survivor - but that was from carrying heavily-laden trays of food and such, back in the days when I worked in food service. A wrist brace fixed the problem, and it's never bothered me again.)

    --
    "...there are some things that can beat smartness and foresight. Awkwardness and stupidity can." ~ Mark Twain
  65. I don't think it does - directly by promethean_spark · · Score: 1

    I get carpal tunnel, and I use a computer a lot. However I don't think the mouse/keyboard is directly responsible - such activity usually doesn't cause problems. Rather I think my hands are under-worked by the light work I do and so when I go home and use a hammer for a few hours or go kayaking my wrists are unaccustomed to the abuse and flare up on me. The only problem I've ever had typing was with a keyboard that had a sticky shift key that needed a bit of extra oomph to push.

  66. Computer use, especially gaming... by Nick+Driver · · Score: 1

    ...certainly can cause injury to the hands, wrist, elbow, etc. After being a UT2003/UT2004 junkie for the past few years ever since UT2003 first came out, my hands and wrists have suffered a great deal. When I went to see my doctor to see if he'd prescribe me some celebrex, he exploded into a rage about those (expletive deleted) computer games without me even telling him why my hands were sore. He then meticulously explained to me the kinds of surgery that might need to be done if I don't curb my computer gaming, and how slow the recovery process could possibly be for as old as I am. Well, I quit gaming almost entirely except for sparce occasions and only for an hour at a time max, and my injuries have healed up quite well, but I can still feel the pain come back if I play too long, or too frequently.

    And now, just today right at this very time I'm writing this comment, Slashdot posts that UT3 Beta Demo has just been released! . Damn, damn, and triple damn B-{

  67. Poor form... by fitten · · Score: 2, Interesting

    Personally, I think some of these RSIs attributed to "typing" are only telling 1/2 the story... I think typing may cause it but it's really "typing with poor form". Do you rest your wrists on the tabletop/desktop while you type? That's poor form... it binds things that need to slide around inside your hand/arm between your bones/muscles and the desktop. Do you wiggle the mouse around resting your wrist on the desktop? That's bad, too, for the same reason.

    Similarly, are your wrists flat or does your hand form an angle with your forearm? An angle (particularly with resting your wrists on the tabletop) means that the sliding around bits has to go around corners. Normally, this probably isn't so bad (as long as your wrists aren't on the tabletop) for 'normal' use because your hand/forearms may change angles and such a lot but if you do it while typing, you may spend hours with your wrists bend and binding your sliding bits against the tabletop.

    I've been typing (both programming and writing) for nearly 30 years now and have never had an RSI that I know of.

  68. The ergonomics of everyday things by athloi · · Score: 1

    You get up groggy, haven't had enough sleep. The shower knobs are stiff. The sink knobs are too far from where you stand, so you bend over. Your bed isn't firm enough, so pushing off is a struggle. The doorknob on the way out is stiff and the door spring-loaded, so you stop it with your hand.

    At work, your pen is the wrong size for your hand. Your water is too far and too low. The elevator buttons are stiff, and you can't tell when the ATM buttons (membrane keyboard) have triggered.

    Many of our everyday objects are bad designs. We can fix them, with some patience and an insightful technical writer or user interface designer or interaction designer on the scene.

  69. summary of parent post by Anonymous Coward · · Score: 0

    Major premise: People say bad keyboards don't cause carpal tunnel syndrome.
    Minor premise: When I switched to an ergo setup my tendinitis was cured.
    Conclusion: People are full of shit.

    That's some fine logic there buddy.

  70. I didn't realize pregnancy was a disease by nica · · Score: 1

    I guess many people do avoid pregnancy like a disease.

  71. THIS JUST IN: Cigarettes Don't Cause Cancer by schwaang · · Score: 0, Flamebait

    Also, the data is still out on Global Warming.
    Nuclear power is completely safe.
    Seat belts and airbags are unnecessary, and will ruin the auto industry.

    1. smoking gun, mushroom cloud
    2. ???
    3. Let's invade Iran!

    Cellphone radiation? Look, a pony!

    1. Re:THIS JUST IN: Cigarettes Don't Cause Cancer by ZombieWomble · · Score: 1
      While I'm not sure the effect you were going for, the list presented in your post would be a fascinating study into real and perceived risk factors - some things which are provably dangerous which people will in general simply shrug off as being unimportant, some which are laughably tiny risks which somehow get people all riled up, and a few in between.

      Really, it's why good epidemiology is very necessary - people are simply awful at judging the risks presented by almost everything, and it can often be a massive undertaking to determine the truth (even if people are often not inclined to pay that much attention to it).

    2. Re:THIS JUST IN: Cigarettes Don't Cause Cancer by schwaang · · Score: 1

      Your point pretty much aligns with the one I was trying to make via mostly historical example:

      [b]Due to the fuzzyness of human thinking, it is easy for deceptive people to use Fear/Uncertainty/Doubt to prevent the general public from coming to a truthful conclusion about a given danger.[/b]

      Good epidemiology is necessary by not sufficient -- you can have 99+% of scientists agree on global climate change, but the 1% that Exxon/Mobil funds get equal weight in the fuzzy public mind, leading to enough confusion to cause inaction. Same with tobacco. Apparently the same with Saddam and 9/11.

  72. Re:Not actually computer use that causes it... by wanderingknight · · Score: 1

    "Niggesrs"?

  73. Call it what you want.... by Anonymous Coward · · Score: 0

    ...but after 4 solid days of html coding and graphics work on a website, my arm hurts like a sum-a-bitch.

  74. It's like root canal. by scharkalvin · · Score: 1

    If you HAVE CTS then computer usage might be that much more painful, but
    using the computer might not actually give you CTS in the first place.
    Kinda like root canal. Someone asked me if it hurt to have root canal.
    Well, I had a good dentist and my answer was "having root canal performed
    was uncomfortable, but not painful. NEEDING root canal in the first place
    was painful!"

  75. Who paid for the study? by Anonymous Coward · · Score: 0

    ... insurance companies?

    As someone in the medical writing industry, I can tell you that the funding of the study, and especially, the papers written about it, have everything to do with the "results".

    As my run-on suggests, I'm not an editor. :D

  76. My own personal observations agree! by Eggplant62 · · Score: 1

    I type for a living. I do medical transcription working an 8 hour day 4-5 days a week. I'm also a student in Linux administration at a local business college and hobby with it constantly. I game at night after work. I spend probably 12-15 hours most days with a laptop on my lap. I type furiously fast and very accurately. As long as I obey practical prevention techniques, like keep my wrists straight, take frequent breaks to rest and stretch, and drink plenty of fluids, I could probably keep this up for another 10-15 years before osteoarthritis sets in, as is likely based on my dad's current joint health. One big benefit from my past is that I worked for a hand rehabilitation therapy clinic with a bunch of occupational therapists who taught me all I ever needed to know about wrist health.

    It's all about posture. If you type with your hands in funny positions, yes, they're going to hurt. If you're a skinny person with skinny wrists, you're more likely to develop the condition due to basic mechanical stress on your wrists. Baby them and be careful. Splinting before you get symptoms can help stave off but not prevent the syndrome. Most of all, don't take the advice of some geek on Slashdot, talk to your doctor and let him know of any problems you might have.

    1. Re:My own personal observations agree! by mechsoph · · Score: 1

      talk to your doctor and let him know of any problems you might have.

      Unless you see a specialist with experience in RSI, this may not be too helpful. The two general practitioners I saw were totally worthless.

  77. I tried that by Anonymous Coward · · Score: 0

    move your mouse with your arm

    But now my arm hurts.

  78. I had a similar experience by fishexe · · Score: 1

    I worked at a relay center (phone calls for deaf people through the internet) for 3.5 years and developed pretty serious RSI, to the extent that the Dr. gave me wrist splints to wear all day and night. I went on a 6-week canoe trip down the Mississippi and, even though I was putting serious pressure on my wrists for about 10-12 hours a day, all my symptoms went away. I came back to go to Uni and within a few months of typing without other physical activity, the problems were back.

    --
    "I don't care about the Constitution!" --Bill O'Reilly, November 17, 2009
    1. Re:I had a similar experience by Anonymous Coward · · Score: 0

      There's been a revolution in the muscle injury world in the last decade or so that completely changed the way muscle/tendon type RSI should be treated.

      Turns out that old standard treatment was wrong. The absolute worst thing you can do for any muscle injury is immobilize it 24/7. Instead, you should immobilize while doing whatever is aggravating the symptoms (in my case typing), and then go without the rest of the time. This protects you from further injury, and also from muscle atrophy, which makes things much, much worse.

      The only time you want to immobilize is if the muscles are actually torn, in which case the affected area should be immobilized until the tear has healed. But after it's reattached, you move to a split immobilization/not mode while you rebuild strength and mobility.

      And yeah, exercise. Resistance is best (start light to avoid making things much worse), but even cardio helps clear out the crud and boost your healing (barring other issues). I only know one person who is a heavy exerciser and has RSI, but he broke a wrist at one point and it didn't quite heal properly.

  79. I Don't Think So... by Greyfox · · Score: 1

    But I'm pretty sure it causes Tourette's syndrome.

    --

    I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  80. Comfortable Positions by roguetrick · · Score: 1

    I can type on a keyboard and use a mouse just fine without any pain, but if I have to write with a pencil, it starts to kill me. Do pencils cause carpal tunnel?

    --
    -The world would be a better place if everyone had a hoverboard
  81. Been on computers since 1979 by Bigbutt · · Score: 1

    No CTS yet. Started as a typesetter on a dedicated computer, then a ZX81 to CoCo to IBM PC.

    I had a brush with it when I was playing one of the games (Command and Conquer or Starcraft, I forget). I got so intense and devoted a lot of time in completing the game that my right wrist was really getting irritated with me. I switched to a marble mouse and that seemed to fixed the problem.

    I'm a Unix geek so I type a lot and I screw around with web pages and mysql and I'm a documentation geek. I was hired at my current job specifically because I'm good with Unix and have a liking for documentation.

    [John]

    --
    Shit better not happen!
  82. Using a computer for years.. by zygotic+mitosis · · Score: 1

    I've been a heavy PC user for almost 10 years (no, not that heavy), and in that time, I've not had wrist problems until I started playing guitar for hours on end. In this case, my strumming/mouse/right hand was the one affected. Guitar causes carpal, not keyboards.

    1. Re:Using a computer for years.. by Slur · · Score: 1

      Tendonitis, more likely. It's an imbalance of the muscles, tendons, and nerves of the upper-back. The pain manifests in the hands, wrists, the upper back, and neck. I suffered a huge blast of tendonitis a couple years ago as a result of poor posture, too much hunched guitar-playing, a permanent shoulder injury (torn ligament), and finally overexerting myself during a rapid lawn-mowing session. The next morning I woke up with a paralyzing pain all the way from my neck down to my left thumb. My left side became useless. The nerves passing under the clavicle were definitely implicated.

      I had to remain lying down most of the time for a good month and I was unable to do my computer work effectively for more than 2 hours a day even lying down. I forced myself to do yoga stretches despite the pain because it was the only thing that provided any relief, and after a time my balance returned. I've kept up the yoga on a casual basis, so my muscles are a lot less tight, and so far I have never had another attack despite long hours at the computer and continuing to play guitar.

      Posture seems to be the key thing. Muscles shorten and autonomous nerves try to develop a balance to keep things from pulling too far one way or the other. When things get too far out of whack or nerves get pinched this mechanism goes crazy and muscles contract and spasm. I've heard similar things happen in a stroke - muscles spasm so violently they can break bones. Yikes!

      --
      -- thinkyhead software and media
  83. Re:Not actually computer use that causes it... by Anonymous Coward · · Score: 0

    That first S is used in the word Linus, which is read top to bottom in the second column.

  84. My personal anecdote is similar by skulgnome · · Score: 1

    I've been using computers since age 4, for some twenty years now. I've never had hand joint or tendon problems. Then again, I also do the sensible thing, i.e. I take stretching and walking around breaks every couple of hours.

    Of course this is purely anecdotal. I might just have superior nordic hacker genetics or something.

    1. Re:My personal anecdote is similar by Cytlid · · Score: 1

      I'm with this guy. I was twelve years old twenty years ago when I first started using a computer *a lot*. I have friends and a brother with CTS but not myself. Must just be good habits, or perhaps there's other factors involved?

      --
      FLR
    2. Re:My personal anecdote is similar by Todd+Knarr · · Score: 1

      Probably habits. I see a lot of bad design when it comes to computer keyboards. Take, for example, wrist rests. When I was taking typing classes, proper typing position was with the wrists straight so the back of your hand was level with the top of your forearm. If you let your wrists collapse far enough to touch where a wrist-rest would be, the teacher'd correct you with a quick smack of the ruler and a "Wrists UP!". Looking back at it, the wrist position they demanded was nearly exactly the right position to minimize irritation of the tendons and nerves running through the wrist. Ditto with seating, my typing teacher would've considered most modern office desks hopelessly inadequate for typing work. An additional 6-9" of chair height would be needed, plus an addition 4-6" more on the work surface around the keyboard (the keyboard should be dropped to allow the forearm to be parallel with the floor when in proper typing position while still keeping the rest of the work surface high enough to be comfortable). As for chairs, she'd've Had Words with someone about standard corporate seating policy (which most places seems to be "steal anything available for the new guy"). I literally have better chairs at home for my workstations than I've ever seen in a corporate office.

  85. Datahands fixed it for me. by benow · · Score: 1

    This is my current setup, after trying several ergo solutions. Posture, straight wrists, correct monitor position and massage all help. I've cranked out well over 40k LOC with this setup without problems. With a traditional kbd and mouse I was getting shoulder, wrist and hand pain... not any more. I'm sure it's possible to use a standard setup without RSI, if you ensure that the ergonimics are good.

    1. Re:Datahands fixed it for me. by myz24 · · Score: 1

      What part of this setup helped the most for the pain? The keyboard contraption or that bottle of Jägermeister?

    2. Re:Datahands fixed it for me. by benow · · Score: 1

      Hehe, the datahands for the physical pain, the jager for the logical anguish.

    3. Re:Datahands fixed it for me. by Anonymous Coward · · Score: 0

      Good on you for using 'hehe' in this day and age, sir.

      Too many people are running scared and using 'heh' and the world is poorer for it.

  86. Other forms of RSI, and effects on symptoms? by argent · · Score: 1

    I suffer from Ulnar Nerve Syndrome, and after making a few changes in the way a use my computer about a decade ago when it was diagnosed the symptoms rapidly improved, and improvement continued over the following few months, I have not had ANY incidents of severe pain, nor has there been any progression.

    My doctor at the time told me that many cases described as CTS are not in fact CTS but are some other kind of damage. BUT... the changes in behavior intended to alleviate CTS are effective at resolving superficially similar problems, and avoiding pain and loss of motion whatever the cause.

    So... if you are suffering from pain that may be alleviated by changing your work habits, DO IT. And you should be talking to your doctor about it anyway.

  87. News just in by fozzmeister · · Score: 2, Insightful

    Driving doesn't cause death... if your careful. Typing doesn't cause carpal tunnel, if your careful, amazing isn't it.

  88. me too! by hawk · · Score: 1

    I had it as well. I actually ended up going in for medical treatment. The physician told me that he could send me for physical therapy, but that I could get the same results myself. I was assigned to attach a rubber band to my pinky and ring finger and repeatedly stretch.

    In a completely unrelated event (*I* would never tamper with university equimpent!), shortly thereafter I found a piece of plastic that looked a lot like I would speculate the mechanical toggle mechanism from the apple keyboard on my desk would--and, coincidentally, that toggle stopped working and I could use the key to the left of the "a" as God intended. [I was using macbsd]

    Anyway, in my case, the stretch was exaggerated--I have large but not huge hands, which meant that I had to rotate my left wrist for my pinky to even get to the control-key-in-exile.

    I don't know how well the exercises would have worked, as I switched back to the True Editor in the aftermath as well.

    hawk

  89. Re:Not actually computer use that causes it... by mark-t · · Score: 1

    I find that the CTS is actually worse in my dominant arm. I believe it is at least in part due to mouse use, because I find that when it flares up, it's far more painful to use a mouse than it is for me to type.

  90. If carpal tunnel syndrome had anything to do... by God+of+Lemmings · · Score: 1

    with keyboarding, my forearms would have already fallen off.

    --
    Non sequitur: Your facts are uncoordinated.
  91. Same for me, different activity by grgyle · · Score: 1

    Absolutely the same here...I'm an engineer/drafter that spends 40+ hrs a week at the keyboard, plus loves computer gaming at home. Around 10 years ago, I started getting rather serious RSI symptoms. Pain-spikes, numbness, tingling, it was progressing fast.

    Shortly after that same time I started a martial arts class for fun. We routinely did a lot of different hand form exercises (fists, grips, tiger claws, etc) that would turn my wrists and forearms to jelly during classes.

    Shortly thereafter (over about 3-6 months), my RSI symptoms lessened and gradually dissappeared. I'm now 10 years older, still do my kung-fu drills part time, and can spend entire days on a keyboard without the slightest pain or twinge and come home and play games until dawn.

    Rock-climbing is likely very similar in the strength and flexibility of movement of the fingers and wrists. I fully credit kung fu for "curing" my RSI. I'm just glad that I coincidentally discovered it when I did.

    --
    ----- And all that the Lorax left here in this mess was a small pile of rocks, with one word...UNLESS.
  92. Re:Not actually computer use that causes it... by pthisis · · Score: 3, Interesting

    I find that the CTS is actually worse in my dominant arm. I believe it is at least in part due to mouse use, because I find that when it flares up, it's far more painful to use a mouse than it is for me to type.

    FWIW, I found that switching the mouse to the left hand for a month and then alternating every couple of weeks made all my arm pain go away. It takes a day or two to get used to using the mouse in the off-hand, but was well worth it for me.

    --
    rage, rage against the dying of the light
  93. socialism... the path to prosperity!!!11 by doug141 · · Score: 1

    I'll be modded down for this, but how does for-profit food production and distribution sit with you? What about for-profit home building? What about whatever you do for a living? Don't you sell your labor to your employer at a profit, or have you been a volunteer all your life?

    Here's a thought experiment... what if doctors and drug scientists UNIONIZED? Then whose side would you be on? You're not anti-union, are you?

  94. Stress by sckeener · · Score: 1

    I know exactly where my repetitive strain comes from....Stress

    I am a firm believer in stress kills. A long, long time ago I had a serious stress problem. I thought I was having ergo problems. I changed everything out to ergo and took breaks, but by the end of the day my hands were claws. I couldn't type. Every morning I was fine, but I driving home at the end of the day with sticks for hands. Then one morning I was fine until I got a stressful phone call and it clicked to me what the problem was...since then I try not to let anything bother me. It isn't worth your life.

    Oh and that stress...was caused by one manager who I said I could outlast...I did, but it wasn't worth the price...other employees had health issues too, one had a heartattack and another was put on heart medicine.

    --
    "Only one thing, is impossible for god: to find any sense in any copyright law on the planet." Mark Twain
  95. A physical activity most suited to prevent RSI/CTS by shihonage · · Score: 1

    As a 7-year practitioner, I can confidently say that Aikido is absolutely priceless for a programmer, because it does the following: * makes you UNLEARN the crooked posture habits while walking and sitting * reprograms the way you walk for better balance... you learn to keep your spine straight without it being forced or unnatural * can be good cardio depending on particular dojo/class (good for sedentary programmer types) * puts a LOT of focus on (small) joint manipulation - keeps the crust out of your WRISTS, elbows, shoulders In my experience as a heavy PC user, Aikido makes you practically immune to CTS/RSI . Its not so good to the knees over long term but there's always a price to pay ;) Either way I believe its a must-have physical activity for a programmer.

  96. doesn't surprise me by dirtyhippie · · Score: 1

    I used to work in a lumber yard by day, code by night, and play guitar on weekends, and when I did that, my wrists were a mess. I had to wear wrist braces, take waaay too much OTC pain killers, etc. However, since I stopped with the lumber yard, I've had no problems whatsoever. From wikipedia:

    Studies done by the National Institute for Occupational Safety and Health (NIOSH), indicated that job tasks involving highly repetitive manual acts or necessitating wrist bending or other stressful wrist postures were connected with incidents of CTS or related problems. However, it appears that the 30+ studies reviewed were concerned with the occupations of assembly line workers, meat packers, food processors, and the like, not general office work.

    So unless you type in some extremely stupid fashion (I have very poor typing posture myself), I'm not inclined to believe that's enough to get carpal tunnel. And now for the haha-only-serious portion of this post:

    • Of course typing isn't enough to give geeks carpal tunnel - the mechanism by which CTS happens is that *muscles* compress the nerve. Geeks don't have muscles.
    • What other repetitive, wrist intensive motions do geeks stereotypically do to much of that could be causing this stress?
  97. RSI does not equal CTS by Anonymous Coward · · Score: 0

    In the February 2006 article in TFM, Anne Vazquez wrote: "A recent report from Harvard Medical School stated that one should not confuse an RSI with carpal tunnel syndrome. Researchers found that carpal tunnel is caused when nerves in the wrist are pinched; however, it's not caused by frequent use of a keyboard. Rather, it is caused by heredity, body weight, fracture, or even pregnancy, the report states. Still, researchers warned that improper computer use could cause different types of RSIs; carpal tunnel is just incorrectly described as one." Click this link to read the rest of the article: http://www.todaysfacilitymanager.com/tfm_06_02_cover.php

    1. Re:RSI does not equal CTS by HeidiTFM · · Score: 1

      The Harvard study is from January 2006. It's not new. The only thing worth mentioning is the definition of terms.

  98. Silly comment on Sig by Anonymous Coward · · Score: 0

    Rage Rage against the dying of the right. - Sen Larry Craig as told to Rep Mark Foley.

  99. Two things by Maxo-Texas · · Score: 1

    a lot of CTS is really tendonitis

    I see a lot about typing but mousing causes more problems than typing for me.

    Course mine is now compounded by chemo and diabetes.

    --
    She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
  100. insurance??? by local_loopback · · Score: 1

    right......and which insurance company paid for this study????

  101. Yes it does by Anonymous Coward · · Score: 0

    It sure does.
    The first time I played Doom against a human, I was using the keyword and tried frantically to beat them, I did okay but they beat me and were impressed that I was using kbd. The next 3 days were painful, I could hardly type.
    I switched to the mouse after not playing it for a few weeks, and I got better at the game and no pain.

    These days, I only get pain if I play games at night and weekend in addition to typing during the day. Even then the pain is very mild.

    I remember a friend who played guitar and then did lots of typing, it caused him so much pain he had to give up the guitar for a long time.

    Do everything in moderation and don't over do things.

  102. Your faith is not pure enough. by Anonymous Coward · · Score: 0

    Ctrl-Shift-Underscore

    You mean C-S-_, you poseur!

    1. Re:Your faith is not pure enough. by Anonymous Coward · · Score: 0

      Both of you are wrong, it's C-_

    2. Re:Your faith is not pure enough. by Zombywuf · · Score: 1

      Or C-S--

      --
      If you can read this you've gone too far.
  103. maybe not a structural problem... by SpecialRider · · Score: 1

    I think an issue with diagnosing the cause of CTS and other chronic pain conditions is that we(ourselves & doctors) are always looking for a structural problem in the area with the pain as the cause for pain. Dr. John Sarno has done some very good work involving healing people with chronic pain issues for years. He attributes the cause of most chronic pain to be psycho somatic in origin. Very worth while looking into if you suffer from chronic pain.

    I personally battled chronic back pain that was attributed to a herniated disc(via MRI)...once i started tying underlying emotions to pain it went away...very bizzare sounding at first but it allowed me to rid myself of back pain and never waste time/money on another doctor visit. Bonus too was that other pains went away (rotator cuff, knee, tight hamstrings) with no physical therapy whatsoever. The single best thing Ive ever done regarding personal health.

    I still work 40 hours/week at a computer but could care less about posture (I also spend my free time hunched over riding a road bike).

    Chronic pain sucks the fat man's ass... What sucks worse is that we are conditioned to deal with it via drugs, physical therapy and surgery. Keep an open mind and question your doctor(s) if you think what they tell you is BS.

  104. CTS is a y2k disease by Anonymous Coward · · Score: 0

    as in, like y2k, is more or less a overblown sham. the real issue is your back. go to a chiropractor first before having some doctor tear open your wrist and do a temporary fix on your wrist.

    seriously. when I chiropractor adjusted my back and loosened all my muscles since I tend to lean on one arm, all joint pains went away.

    cutting yourself open doesnt fix everything.

  105. John Sarno by Anonymous Coward · · Score: 0

    1. Ibuprofen/ice didn't help at all
    2. Got nerve conduction study, xrays, visit with M.D. to rule out carpal tunnel / nerve damage, other stuff
    3. Oddly heat, massage, exercise, helped, ie. anything increasing circulation
    4. Read John Sarno. Realized that pain accompanied changing residences/jobs.
    5. Next day, pain 98% gone, typing away whole day.

    Please ALWAYS talk to a medical doctor first! Don't take a chance with permanent damage to your nervous system!

  106. Joints??? by rrohbeck · · Score: 1

    CTS has nothing to do with joints. It's a Repetitive Stress Injury (RSI) of the soft tissue around your wrists, especially the finger flexor tendons and the fascia and nerves there.

    I never had it so I can't contribute. What I do have every now and then is Achilles tendinitis/tendinosis. There's an easy fix for that: Heavy weight training. I wouldn't be surprised if that applied to the wrist too.

  107. Exercises that help by Anonymous Coward · · Score: 0

    Doing these quick little exercises a couple times a day helps out a lot.

            * Tap each finger with the thumb of the same hand. Repeat five times.
            * Alternate tapping the palm of your hand and the back of your hand against your thigh as quickly as you can. Repeat 20 times.
            * Open your hands and spread your fingers as far apart as possible. Hold for 10 seconds and repeat eight times.
            * Fold your hands together, and turn your palms away from your body as you extend your arms forward. You should only feel a gentle stretch. Hold for 10 seconds and repeat eight times.
            * Fold your hands together, turn your palms away from your body, and extend your arms overhead. You should feel the stretch in your upper torso and shoulders to hand. Hold for 10 seconds and repeat eight times.

  108. tiny mouse can make a huge diference by Mike+Zilva · · Score: 1

    I had once hard pains in right fist and got used to handle the mouse with left hand, but soon the pains also came to left hand (in a week or 2) but I found out that using a very tiny mouse (like this one: http://www.targus.com/us/product_details.asp?sku=PAUM01U but I think this has low quality button switches ) the fingers don't need to be so high and cause much less discomfort.

    So I always asked myself why there are almost no flat mouses on shops (I know of one with a PCMCIA card, but I din't want to be so extreme:)?

    Right now I use 2 mouses (one on each side of the keyboard) connected via USB and I use both whatever I'm more pleased at each time a hand leave the keyboard:)

  109. I always thought carpal from computers was silly by adatepej · · Score: 1

    If you sit up straight and don't type literally non-stop all day long with your hands in a weird position, you'll be fine.

    The people who have problems are doing some extreme activity, like non-stop typing -- or they're simply pre-disposed to carpal tunnel syndrome in the first place!

    If I'm not mistaken, carpal tunnel is about connective tissue like tendons or whatever.

    So, when the article asks the reader whether or not computers are the cause of problems with joints, I hope nobody thought, "yeah, it does": the idea that the minute pressure you put on the bones in your fingers and arms are causing problems with your joints cause a problem is ridiculous. Your spine from bad posture could be hurt. However, that's not a consequence of computer use, it's a consequence of bad posture.

  110. I think it does by DaveJay · · Score: 1

    Myself, my two sisters: all within a five-year window in age, and all able to type but not typing regularly.

    Within the same two-year period, we all get jobs that require a significant amount of typing on computer keyboards, hours a day (me as a word processor, they as a receptionist/secretary and research librarian respectively.)

    One sister develops pain in her wrists, but elects to work through it and says everything's fine. Over a period of months, it gets worse, and she has to stop typing because the pain is too great. Eventually the doctors diagnose it as carpal tunnel, and despite various forms of treatment being tried, nothing works. It's been more than ten years, and she still can't type; she still can't lift a book by the edge with one hand, in fact.

    Other sister starts to develop similar pain when first sister is much further along in her pain. Initially she pushes through the pain, too, but seeks treatment when our older sister is diagnosed with carpal tunnel; she is diagnosed with tendonitis, given exercises and such to do, and she also changes jobs to one requiring a lot less typing. Her pain goes away eventually, and she's fine.

    I start to develop pain just before my second sister is diagnosed with carpal tunnel, so I start taking typing breaks and go to great pains (no pun intended) to ensure that my typing posture etc. are correct and non-damaging. My pain goes away almost immediately, and even though I still type extensively for a living more than ten years later, the pain never returned.

    So based on this experience, I'm willing to say it at least contributes to the problem, but that posture and other elements related to the physical activity being performed are significant contributors as well.

  111. Completely wrong by Rob+Simpson · · Score: 1

    Less than one percent of smokers die of lung cancer. 90% of lung cancer is caused by smoking.
    About twenty percent of smokers will get COPD (chronic bronchitis and emphysema). 90% of COPD is caused by smoking.

    Most people will not get lung cancer or COPD no matter how much they smoke. It is very likely those affected have some sort of susceptability triggered by smoking.

    These situations are exactly the same. And newer journal articles do not agree with this blogger.

  112. Cause what? by Anonymous Coward · · Score: 0

    "...cause carpal tunnel?"


    Maybe not, but smoking causes lung; tennis causes elbow; and cholesterol causes artery. Too much sodium causes blood-pressure. Too much sun causes skin.

    This bad editing is giving me a head.
  113. Touch typing causes carpal tunnel. by Anonymous Coward · · Score: 0

    Touch typing causes carpal tunnel. Period.

    You think-typists (as opposed to touch-typists), hold out your hand and bend it at a 90-degree angle like touch typists do and wrap rubber bands around your finger so you only reach four keys at a time. Now try to get work done. Hurts, doesn't it? Duh!

  114. Good solution by fireman+sam · · Score: 1

    1/2 glass Pure pineapple juice + 1 heaped tbl spoon turmeric (spice)

    The pineapple juice helps the body absorb the curcumin in the turmeric which reduces inflammation. Hold your nose while drinking it though as it tastes like bad dirt. It is also good for inflamed joints. YMMV

    --
    it is only after a long journey that you know the strength of the horse.
  115. Carpal Tunnel by Anonymous Coward · · Score: 0

    I thought for the longest time that I was developing Carpal Tunnel. Arm pain, sore shoulder, hand hurts... ect. One day a friend on mine that was going through massage school did some work on it for me, I felt the best I had in 5 years! She said it was commonly diagnosed as Carpal Tunnel by doctors and laymen, but that the signs I exhibited, and that she treated for was actually .

  116. Re:Not actually computer use that causes it... by cerberusss · · Score: 1

    It takes a day or two to get used to using the mouse in the off-hand, but was well worth it for me.
    Yeah it was well worth it for me too, it has lots of other advantages! Posting anonymously for obvious reasons *sniggers*
    --
    8 of 13 people found this answer helpful. Did you?
  117. Re:Not actually computer use that causes it... by danomac · · Score: 1

    I had a lot of problems with the mouse as well. I don't use it a lot as it is, but I went back to a trackball after about 9 years of using a mouse.

    The one that I linked is quite ergonomic and keeps the hand in a more natural position. I haven't had any problems since getting it. The only annoying part was getting used to using my fingers to move the trackball instead of the thumb (my old trackball was a thumb-type) but now I'm past that I won't use a mouse at home again.

  118. not keyboard... by TheCoop1984 · · Score: 1

    When starting uni, a few weeks into my first term I started getting pains in my wrists & arms. Went to see the nurse, prescribed painkillers, didn't really help. Before uni I spent hours and hours on a computer without any issues at all. Turns out it was the twisty gears on my bike - changed them to the the thumb type and my problems went away overnight. Maybe I just have strange wrists, no one else seems to have a problem with the twisty gears...

    --
    95% of all computer errors occur between chair and keyboard (TM)
  119. I've said that for YEARS! by Talkischeap · · Score: 1

    About 10 to 15 % of the population has an inherited or acquired genetic defect that interferes with their Porphyrin metabolism, and it's touching plastic that causes so-called carpal tunnel syndrome.

    Plastic really is toxic to a certain percentage of these individuals because they can't metabolize it as rapidly as those without the gene defect.

    About 8 years ago I started using thin cotton gloves for the mouse and typing, and it stopped my diagnosed carpal tunnel syndrome COLD!

    I switched to glass containers for all my food and drink, and use gloves when handling extension cords (all containing extremely toxic compounds).

    And I still do all manner of so-called repetitive motion activities, and I have ZERO "carpal tunnel" problems now.

    Some handy linkage:

    --
    If it don't GO... chrome it. ~ Frank Banks
  120. ask my wrists by wikinerd · · Score: 1

    My wrists yell at me not to believe this study. I'm serious, and actually right now that I type this I'm in pain.

  121. Pre-Disposed arguement is Still Shit by spiedrazer · · Score: 1
    This "Pre-Disposed" arguement doesn't make sense. What if it just means you haven't had enough repetitive motion at an arm geometry that would initiate a problem yet?

    I personally got CTS after moving to a new office and seeting up my desk in a manner that I thought would be more comfortable. My thumb & index finger got numb. Since I re-optimized my chair/keyboard angle I dodn't need a fancy ergonomic anything.

    So... Computer use doesn't cause the problem... Bad arm/body geometry combined with repetetive motion will cause the problem no matter what the task, and I would bet it will cause it for anyone. It may take a higher rate of repetitive motion for some people depending on their muscle/tendon geometry, but it will eventually bother anyone subject to enough motion.

    --
    Keep passing the open windows...
  122. Re:I have CTS ... and the other CTS by ps · · Score: 1

    Ya know, I have to agree. I'm 40 now, and going on my sixth surgery due to nerve problems in my arms (both wrists and now both elbows -- twice). My surgeon, aside from buying a new boat, is convinced it's a genetic problem, rather than work related. He thinks my nerves are just a little too short. So they get stretched too easily, and like a rubber band, eventually wear out.

    I'm convinced it has more to do with how people sleep than anything else. I sleep with my hand curled up under my face, which just contorts the nerves just a little too much. If you wake up with your hand asleep, you're probably doing it. You can adjust how you sleep with a wrist brace, or an elbow pad turned around on the inside of your elbow.

    I'd also like to bring everyones attention to cubital tunnel syndrome. Carpal tunnel messes up the thumb, index and half the middle finger. Cubital does the other two and half fingers. The surgery is much worse. Basically, they have to move your funny bone to the inside of your elbow. That involves cutting at least one muscle in half, moving the nerve and reconnecting the muscle halves.

    I tell all the people who work for me, as soon as you start feeling symptoms, go in and get it checked out. Try the physical therapy, cortisone shots, whatever. The surgery isn't fun.

  123. simpile solutions by ClioCJS · · Score: 1
    1) get an ergonomic keyboard. don't whine about it. get it. DON'T WHINE ABOUT IT. just get it. Try to get one that has the 6 key on the right half (to put it on the left half is total blasphemy).

    2) Learn to mouse left-handed at work. Do this for 2 months straight. ONLY switch when it starts to hurt. Then stay right-handed. And so forth. Mousing is an additional strain on whichever arm is using it. Think of it as rotating your tires.

    3) For casual home use (surfing, clicking on music/video), get a trackball. Hand in lap is much less work than reaching which hurts your upper arm after awhile. Trackballs are great, but not for FPS, or doing real serious work. But anything you can do to not reach.

    4) Put keyboard in lap. This is how it's meant to be. No reaching!

    --
    -Clio
    Karma: Bad (mostly from not giving a fuck)
    Blog: http://clintjcl.wordpress.com
  124. Speed * Quantity = % chance of RSI by justthinkit · · Score: 1

    SPEED

    Game #1: you click a bit, read a bit, mouse a bit, repeat (the average questing game)
    Game #2: you click very rapidly and non-stop (e.g. galaga, 1941 or the moronic boxing/kung fu games) for hours on end.

    Game #1 doesn't affect anyone. Game #2 can definitely get you some RSI.

    QUANTITY

    Boxing game #1: rank n00b plays for 30 seconds, then spends a minute starting the next...third...nth game.
    Boxing game #2: pugalist extraordinaire plays consecutive 10 minute matches for the same length of time.

    Boxing game #1 only lowers your I.Q. Boxing game #2 will move you closer to RSI symptoms.

    RESULT
    Basically, speed kills. Pity the touch typers. And quantity kills. Worst case is a fast typist who does hours and hours of it per day. But not occasional spurts of fast typing. Things like data entry, or hours of cmd-line typing by someone who knows what they are doing (to use one of the scenarios that caused my RSI). I aggravated my RSI when I spent hours per day using a $50k network simulation software (CAATS & MAATS) that was ported to NT from unix, the result being that it didn't work well with the keyboard so I had to mouse around in a highly repetitive fashion -- my first joint of my index finger has yet to fully recover.

    --
    I come here for the love
  125. Anonymous Article = Insurance Company FUD by mbstone · · Score: 2, Interesting

    The article isn't signed: it has as much scientific value as an Anonymous Coward post.

    Funny how we can't check out the author to see if he (or she) is really a shill for the workers' comp insurance companies, not unlike the shills for Exxon who deny that the planet is getting warmer.

    Ever been to a trial of a personal injury case? There are plenty of orthopedic physicians who will, for a buck, testify that Joe Plaintiff wasn't really crippled, or even hurt, in the accident that totalled his car.

    The shill orthopedists live in great, big houses up on the hill.

  126. Compiling statistics here... please forgive. by Anonymous Coward · · Score: 1, Informative

    You're right, GP is WAY high... but the "less than one percent of smokers" number is way low according to government statistics.

    According to the US Gov the "lifetime risk", any random person's chance of getting lung cancer before s/he dies, is about 7% max. Getting it is pretty much a death sentence though, as less than 1 in 5 will survive after five years.

    The Dana Reeve case pointed out to pop culture that you can get lung cancer without smoking. Roughly 10 percent of men and 20 percent of women who develop lung cancer are non-smokers. Assuming a roughly even split between men and women, we'll say 15% of lung cancer cases are non-smokers. That means the other 85% of that original 7% have smoked at some point in their lives... Let's round that to 6% of lung cancer cases are smokers. Knowing that about 20% of the US population smokes... that gives us percentages of people who will develop lung cancer before death:

    • Smokers = (0.06/0.2=0.3) 30%
    • Non-Smokers = (0.01/0.8=0.0125) approximately 1.3%
    1. Re:Compiling statistics here... please forgive. by Rob+Simpson · · Score: 1

      Yeah, I got tired of looking through statistics regarding percentage of lung cancer deaths, how much more the risk is, etc., and grabbed the first thing I saw...which must've been the figure for nonsmokers. Oops.

  127. One word Wacom by BlueshiftVFX · · Score: 1

    not if you use a Wacom tablet http://www.wacom.com/index2.cfm

  128. Re: keyboard ergonomics by adminstring · · Score: 2, Interesting

    I find that my wrists start to hurt if I put the feet on the back of the keyboard up - it forces my wrists to bend backwards, which they don't like to do. My piano teachers always stressed keeping the forearms up and letting the fingers curl down naturally; if I do something like that at the computer keyboard, I find I don't have wrist pain.

    I've suggested this to a number of coworkers, and it has reduced their wrist pain in most cases. Obviously your experience is different... people's bodies can vary considerably.

    My other favorite workstation ergonomic discovery is a using a trackball instead of a mouse. This lets me make all those tiny little precision movements with my fingers, which are good at that sort of thing, instead of with my forearm, which seems to be better at larger, less precise motions. This keeps my forearm from cramping up during long computing sessions.

    --
    My truck is like a series of tubes.
  129. No, but ... by PPH · · Score: 1

    ... what you are doing with your other hand will make you go blind!!!

    --
    Have gnu, will travel.
  130. Bogus!! by Anonymous Coward · · Score: 0

    In my opinion, this study is 100% bogus. I'm sure the mouse and pad is responsible for my carpal tunnel problems. Some mice/pad combos place more pressure on the canal of nerves and bones than others. I don't care what this "study" says. I've been in the business for over 20 years and I've saw 1st hand the damage that keyboards/mice can do and no bogus study can convince me otherwise.

  131. cts not caused by typing by pavera · · Score: 1

    Why are people acting like the studies in 1991/2 can't be valid?

    Just because they weren't connected to a monitor, typewriters have existed for many decades.

    I don't think they are any more "ergonomic" than current computer keyboards. Point being, why did CTS suddenly become this dire disease that everyone was worried about just now in the last 10 years? People have been typing hundreds of words per minute for at least the last 60 years.

    Further, there are many many jobs in manufacturing that required repetitive movements. Why don't these repeated movements cause CTS?

    I've worried on and off about CTS since I first heard about it in the late 90's. I've been typing > 100wpm since I was 14 and using a computer > 10 hours/day since at least 1995. I've never had any symptoms, but these studies do reduce my concern over the "cause" of CTS.

  132. FPS gaming gets me every time by ylikone · · Score: 1

    Whenever I get into a new FPS on my computer and click a lot with the mouse, I notice that after a week the back of my mouse hand is incredibly sore, especially when trying to click. Then I stop for a week and the pain goes away. This happens to me EVERY TIME I start up with a new game. It sucks. I have never gotten sore hands from typing though... and I am a developer. But don't even try to tell me that over-use of a mouse doesn't lead to problems because I know from my own multiple experiences that it does.

    --
    Meh.
  133. There's a distinction by ^_^x · · Score: 1

    I work in IT all day, then come home and use the PC all night, taking breaks to play video games.
    I have all kinds of brutal RSIs mostly in my wrists and elbows. I have never had carpal tunnel syndrome though - go figure. I guess I just don't hold my hands like that...

  134. Uh right -- why am I in pain then? by Anonymous Coward · · Score: 0

    I don't know if I have cts, all I know is that for the last 15 years of my life the only things I've done are eat, sleep and use a computer. My hand gets numb, I get pain in it and the wrist, my fingers tap mouse buttons on their own. Whatever that is, it's caused by being on a computer. If that's cts then these doctors need to try doing more research.

  135. It's not repetive use, it's the applied pressure by Anonymous Coward · · Score: 0

    CTS is caused by the compression of the "tube" the tendons move within. If you have a badly adjusted chair height and thus aplly too much pressure on your fore-arm on the desk edge, you'll get problems. Adjust your chair, keyboard distance, mouse distance such that you don't have much pressure being pressed on the bottom of your wrist and fore-arm and you'll find any "RSI" discomfort won't be as bad (or present at all!)

  136. Re:socialism... the path to prosperity!!!11 by Breakfast+Pants · · Score: 1

    Interesting--I guess food stamps and corn subsidies don't exist in your fantasy world?

    --

    --

    WHO ATE MY BREAKFAST PANTS?
  137. Excessive Use Does by blunte · · Score: 1

    It certainly does for me.

    Long stints of programming (or dare I say, WoW play... hours upon hours upon hours) absolutely causes forearm and wrist pain/tingling for me.

    So, pardon the low intellect phrase, but "DUH!". WTF. It clearly does. Those who don't use computer nonstop rarely suddenly develop such pains, but those of us who do often do.

    File this under "Contrarians because it's the _in_ thing to be."

    --
    .sigs are for post^Hers.
  138. The science is settled by Budenny · · Score: 1

    This is clearly a right wing neo conservative study, probably financed by large computer and keyboard manufacturers or front organizations. The science is settled. Denialists like this are very dangerous to the future of our joints, and our children's joints. How are guys like this going to face the next generation? What will they say when our children ask us, what did you do when our elbows were at risk?

    Are they going to sit there grinning sheepishly with their bandaged elbows and say, well, I waited till all the facts were in? No, they are going to hang their heads and have to admit that when all the facts were in, and the science was settled, the debate was over, they were Denialists, they cast doubt on whether the catastrophe was really heading for us. And now look what has happened. A whole generation has grown up without fingers or elbows that work! 95% of the population is no longer able to use a knife and fork!

    These people are Dangerous. They probably deny evolution. They probably think cigarette smoking doesn't cause cancer. They are evil. Slashdot is part of the problem by giving them airspace. We need to move to action, now. Ban the manufacture of keyboards of any sort, and make it mandatory to use voice input devices. Like, do it next month, before its too late!

  139. My story... by AndyCR · · Score: 1

    I have had severe wrist pain from computer use for about a year. After a few weeks of it I went to my doctor. He did some tests, and said that is was carpal tunnel syndrome. Whether his diagnosis is accurate I do not know; all I know is that my wrist hurts very badly quite often, normally forcing me to stop and not work for a few minutes at best.

    --
    If there's anyone I hate more than stupid people, it's intellectuals.
  140. Re:socialism... the path to prosperity!!!11 by doug141 · · Score: 1

    They do, as does medicaid.

  141. Re:socialism... the path to prosperity!!!11 by Itninja · · Score: 1

    Profit is totally fine when a person has alternatives. If I really wanted to, I could produce all my own food/clothing/shelter....people have been doing it fine for 1000's of years. Even today, entire groups of people in the US choose to do that (i.e. Amish). The difference is when someone says 'I have to means to save your life with a simple pill (or procedure, or routine surgery, et al). All you have to do is pay me 30% of your yearly income. No, you can't make payments, and no you can't go to a cheaper competitor, and yes you will need to get this treatment over and over again or you will die'.

    Well can't you just share your science with us? We can make our own treatments? 'Oh no,' they say 'we have shareholders to answer to'. The hell?

    And regarding unions, they have helped to provide liviable wages and humane working conditions for their members. But once those goals are met, the union basically exists for its own sake. When Boeing (across the street from me) goes on strike because the company wants them to pay $35 a month to cover their $1000/mo in healthcare costs...the whole time crying about how this a 'crime against the American workforce'...it's pretty apparent to me the union(s) have lost their way.

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    I judt got a nre Kinesis keybiartf so please excusr ant egregiou typos.
  142. Re:socialism... the path to prosperity!!!11 by doug141 · · Score: 1

    Your logic runs in circles to rationalize the outcome you are looking for: for-profit healthcare is bad, other for-profit endeavors are not. Central to your latest point seems to be the idea that a drug company should give away the "science" which they just spent money discovering, developing and testing. If not for the chance of a return on investment, that money WOULD NOT BE THERE IN THE FIRST PLACE.

    Sure, one could make a system solely dependant on altruistic donors for research money. Go ahead and start seeking donations for yours. Our system is much better funded and more productive, as it generates prosperity from a force much more powerful than altruism... for lack of a better word: greed.

    Patents are good for 20 years, and drug testing usually chews up 10 of those, leaving just 10 to recoup costs and only then, if the marketplace demands your new drug, make a return. Innovation is encouraged by awarding patent protection to inventions, and prosperity is spread to all through the expiration of those patents in a free-market economy which benefits the most efficient producer.

    I call BS that you can make a shelter anything like what our for-profit system can sell you at a price you are willing to pay. You could make a hut. If you are gifted you could make a log cabin. You could not make a modern house, especially not with the modern comforts (fridge, A/C, TV) all provided by FOR-PROFIT industries.

    I call BS that the Amish "live that way." When the native americans encountered the militarily superior europeans, they lost everything. The amish are freeloading on national security provided by sophisticated weapons funded by taxpayers. Freeloading isn't "producing your own."

    Innovation and subsequent efficient production are both necessary to maximize prosperity. A system that rewards innovators and efficient producers necessarily leaves the others unrewarded. The rewarded can shop for fantastic creations, while the unrewarded are left to their jealousy. In some, jealousy is motivation to develop marketable skills and the loop is closed. In the others, jealousy leads to socialist rhetoric.